IndividualActive
Ralph Kelley, DO
NPI 1669589677 · Adult Medicine Physician · Portageville, MO
Provider details
- NPI number
- 1669589677
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 31361 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
314 E Main St
Portageville, MO 63873-1616
Phone: (573) 379-3777
Approximate (ZIP-level) locationGet directions
Mailing address
314 E Main St
Portageville, MO 63873-1616
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2016-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.