Healthcare Provider Details

I. General information

NPI: 1972430635
Provider Name (Legal Business Name): KELLYS DEPENDABLE TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

771 RONNIE ST
METTER GA
30439-3417
US

IV. Provider business mailing address

771 RONNIE ST
METTER GA
30439-3417
US

V. Phone/Fax

Practice location:
  • Phone: 912-426-1597
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: JAMES HAMILTON KELLY
Title or Position: CEO
Credential:
Phone: 912-426-0532