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Matthew Kelly
NPI 1164235826 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1509 Bishop Dr Apt D
Kirksville, MO 63501 - Phone
- (509) 282-0495
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri