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RICHARD A. KELLY M.D., P.A.

RICHARD A. KELLY M.D., P.A.

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Company Details

Name:	RICHARD A. KELLY M.D., P.A.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Good Standing
Effective Date:	02 May 1991 (34 years ago)
Business ID:	580100
ZIP code:	38671
County:	DeSoto
State of Incorporation:	MISSISSIPPI
Principal Office Address:	210 GOODMAN RD E, 210 GOODMAN RD ESOUTHAVEN, MS 38671

Agent

Name	Role	Address
RICHARD A KELLY	Agent	210 GOODMAN ROAD, SOUTHAVEN, MS 38671

Incorporator

Name	Role	Address
Richard A Kelly	Incorporator	210 Goodman Road, Southaven, MS 38671
Ronald L Taylor	Incorporator	961 Stateline Road, Southaven, MS 38671

President

Name	Role	Address
Richard A Kelly	President	210 Goodman Road, Southaven, MS 38671

Secretary

Name	Role	Address
Richard A Kelly	Secretary	210 Goodman Road, Southaven, MS 38671

Treasurer

Name	Role	Address
Richard A Kelly	Treasurer	210 Goodman Road, Southaven, MS 38671

Vice President

Name	Role	Address
Richard A Kelly	Vice President	210 Goodman Road, Southaven, MS 38671

Director

Name	Role	Address
Richard A Kelly	Director	210 Goodman Road, Southaven, MS 38671

National Provider Identifier

NPI Number:

1467633651

Link:

View on NPI website

Authorized Person:

Name:

DR. RICHARD ALLEN KELLY

Role:

PRESIDENT

Phone:

6623492251

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 662-349-2251

Filings

Type	Status	Filed Date	Description
Annual Report	Filed	2024-04-04	Annual Report For RICHARD A. KELLY M.D., P.A.
Annual Report	Filed	2023-10-11	Annual Report For RICHARD A. KELLY M.D., P.A.
Notice to Dissolve/Revoke	Filed	2023-09-08	Notice of Intent to Dissolve: AR: RICHARD A. KELLY M.D., P.A.
Annual Report	Filed	2022-05-19	Annual Report For RICHARD A. KELLY M.D., P.A.
Annual Report	Filed	2021-09-24	Annual Report For RICHARD A. KELLY M.D., P.A.
Notice to Dissolve/Revoke	Filed	2021-09-07	Notice of Intent to Dissolve: AR: RICHARD A. KELLY M.D., P.A.
Annual Report	Filed	2020-03-13	Annual Report For RICHARD A. KELLY M.D., P.A.
Annual Report	Filed	2019-03-29	Annual Report For RICHARD A. KELLY M.D., P.A.
Annual Report	Filed	2018-04-03	Annual Report For RICHARD A. KELLY M.D., P.A.
Annual Report	Filed	2017-04-10	Annual Report For RICHARD A. KELLY M.D., P.A.

USAspending Awards / Financial Assistance

Date:

2020-04-08

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.

Obligated Amount:

0.00

Face Value Of Loan:

42600.00

Total Face Value Of Loan:

42600.00

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$42,600

Date Approved:

2020-04-08

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$42,600

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$42,856.77

Servicing Lender:

Community Bank of Mississippi

Use of Proceeds:

Payroll: $37,563.68
Utilities: $5,036.32

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Date of last update: 17 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website