Kelly, Andrea
Kelly, Andrea is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Endocrinology, Philadelphia PA 19104-4319. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Kelly, Andrea can be contacted via phone (215) 590-3174.Contact Information
Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Endocrinology
Philadelphia PA 19104-4319
Phone: (215) 590-3174
Fax: (215) 590-3053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD063874L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | MD063874L | Pennsylvania |
Profile Details
| NPI number | 1720096225 |
|---|---|
| LBN Legal business name | Kelly, Andrea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Apr 15th, 2013 - about 11 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720096225 | NPPES |
| New Jersey | MEDICAID | 8530700 | |
| New Jersey | MEDICAID | 001847749 |
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