Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Owen L Kelly, MD

Individual provider Orthopaedic Surgery Physician · NPI 1962461707

Mr. Owen L Kelly, MD is an Orthopedic Surgery in Russellville, Arkansas. Graduated from University of Arkansas College of Medicine in 1998, 28 years ago. Practices with St Marys Physician Services LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
28
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

401 N Phoenix Ave
Russellville, AR 72801-2844
Phone: (479) 890-5355
Fax: (479) 890-5366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence E3477 (AR)

Record details

NPI number1962461707
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2006
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice St Marys Physician Services Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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