Provider Demographics
NPI:1841646635
Name:BARRY, KELLY S (MD)
Entity type:Individual
Prefix:DR
First Name:KELLY
Middle Name:S
Last Name:BARRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KELLY
Other - Middle Name:R
Other - Last Name:STIEGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:300 STEAM PLANT RD STE 300
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-3089
Mailing Address - Country:US
Mailing Address - Phone:615-328-3740
Mailing Address - Fax:
Practice Address - Street 1:300 STEAM PLANT RD STE 300
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3089
Practice Address - Country:US
Practice Address - Phone:615-328-3740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME149851207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery