Kelly, Jeanne Marie

Kelly, Jeanne Marie is an individual health care provider with primary practice located at 455 Woodview Rd Suite 100, West Grove PA 19390-9303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kelly, Jeanne Marie can be contacted via phone (610) 345-1900.

Contact Information

Primary practice address
455 Woodview Rd Suite 100 West Grove PA 19390-9303
Phone: (610) 345-1900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD038235E Pennsylvania

Profile Details

NPI number 1790727147
LBN Legal business name Kelly, Jeanne Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Dec 4th, 2015 - about 9 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 1790727147 NPPES
Delaware MEDICAID 0000357901

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