Kellman, Ian A

Kellman, Ian A is an sole proprietor health care provider with primary practice located at 625 Hampton Rd , Shaverton PA 18708-9526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kellman, Ian A can be contacted via phone (570) 881-3354.

Contact Information

Primary practice address
625 Hampton Rd Shaverton PA 18708-9526
Phone: (570) 881-3354
Fax: (570) 696-0174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD017470E Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD017470E Pennsylvania

Profile Details

NPI number 1023088382
LBN Legal business name Kellman, Ian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Jun 13th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023088382 NPPES
Pennsylvania MEDICAID 0006544430001

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