Kelly, James M

Kelly, James M is an individual health care provider with primary practice located at 1635 W Main St Suite 700, Ephrata PA 17522-1119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kelly, James M can be contacted via phone (717) 738-0660.

Contact Information

Primary practice address
1635 W Main St Suite 700 Ephrata PA 17522-1119
Phone: (717) 738-0660
Fax: (717) 738-0658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD428418 Pennsylvania

Profile Details

NPI number 1104861343
LBN Legal business name Kelly, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Sep 1st, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104861343 NPPES
Pennsylvania Other 107754 S1QF GEISINGER HEALTH PLAN
Pennsylvania Other 1429961 GEISINGER HEALTH PLAN
Pennsylvania Other 50061893 GEISINGER HEALTH PLAN
Pennsylvania Other 50060203 GEISINGER HEALTH PLAN
Pennsylvania Other 1874597 GEISINGER HEALTH PLAN
Pennsylvania Other P008054 GEISINGER HEALTH PLAN
Pennsylvania Other 7276819 GEISINGER HEALTH PLAN
Pennsylvania Other I54742 GEISINGER HEALTH PLAN
Pennsylvania Other 50061968 GEISINGER HEALTH PLAN
Pennsylvania Other 50065832 GEISINGER HEALTH PLAN
Pennsylvania MEDICAID 1016458260001 GEISINGER HEALTH PLAN

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