Dr. Scott A. Kelly
Physical Medicine & Rehabilitation Doctor
6635 Lake Dr
Morrow
, Georgia 30260-2354
Dr. Scott A. Kelly
Physical Medicine & Rehabilitation Doctor
6635 Lake Dr
Morrow
, Georgia 30260-2354
(770) 968-4556
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Scott A. Kelly
- 6635 Lake Dr
- Morrow, GA
- Zip : 30260-2354
- Fax : (770) 968-4556
- Phone : (770) 968-1323
Second Address
- Dr. Scott A. Kelly
- 6635 Lake Dr
- Morrow, GA
- Zip : 30260-2354
- Fax : (770) 968-4556
- Phone : (770) 968-1323
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 044256 | GA |
National Provider Identifier
| NPI | 1003803404 |
|---|---|
| Provider Name | Dr. Scott A. Kelly |
| First Address | Morrow, GA 30260-2354 |
| Second Address | Morrow, GA 30260-2354 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2005 |
| Last Update Date | 28/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000955787A | (05) | GA |
| 000955787D | (05) | GA |
| 000955787F | (05) | GA |
| H45674 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.