Michael A Kelley, MD
Family Medicine in Moultrie, GA. Individual provider (NPI-1).
NPI number1104984871
StatusActive
Last updated in NPPESSep 4, 2025
Details
- NPI
- 1104984871
- Entity type
- Individual (NPI-1)
- Name
- Michael A Kelley
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2006
- Certification date
- Sep 4, 2025
- Last updated
- Sep 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 050193 | GA | Yes |
| 208M00000X | Hospitalist | 050193 | GA |
Practice location
3131 S Main StMoultrie, GA 31768-6925
Phone 229-502-9782 · Fax 229-891-9567
Mailing address
Po Box 2876Moultrie, GA 31776-2876
Phone 229-502-9782 · Fax 229-891-9567
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All 39 Family Medicine Physician providers in Moultrie · All 611 providers in Moultrie
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