Kelly, John D

Kelly, John D is an individual health care provider with primary practice located at 3400 Spruce St 2 Silverstein Building, Philadelphia PA 19104-4206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kelly, John D can be contacted via phone (215) 662-3340.

Contact Information

Primary practice address
3400 Spruce St 2 Silverstein Building Philadelphia PA 19104-4206
Phone: (215) 662-3340
Fax: (215) 349-5928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD034751E Pennsylvania

Profile Details

NPI number 1538158472
LBN Legal business name Kelly, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Aug 28th, 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 1538158472 NPPES
Pennsylvania MEDICAID 0012052630001

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