| Doctor Name: | DR. RICHARD ERIN MCKELVEY |
| NPI Number: | 1023239241 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | E-5270 |
| Business Practice Address: | 2200 Fort Roots Dr North Little Rock, AR - 721141709 |
| Business Phone Number: | 5102573984 |
| Business Fax Number: | |
| Mailing Address: | 6 Lorine Cir, LITTLE ROCK |
| State: | AR |
| Postal Code: | 722052531 |
| Phone Number: | 5019447962 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 09/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | E-5270 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |