Doctor Name: | DR. JOHN BARRY KELLY |
NPI Number: | 1972815181 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | R7559 |
Business Practice Address: | 3125 Dr Russell Smith Way Carthage, MO - 648367402 |
Business Phone Number: | 4173588121 |
Business Fax Number: | |
Mailing Address: | 5231 Sand Rock Rd, LA GRANGE |
State: | TX |
Postal Code: | 789454149 |
Phone Number: | 4174993908 |
Fax Number: | |
NPI Enumeration Date: | 07/06/2010 |
NPI Last Update Date: | 02/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | R7559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |