Kelly, Kevin James

Kelly, Kevin James is an individual health care provider with primary practice located at 805 Sir Thomas Ct Fl 2 , Harrisburg PA 17109-4839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kelly, Kevin James can be contacted via phone (717) 657-3030.

Contact Information

Primary practice address
805 Sir Thomas Ct Fl 2 Harrisburg PA 17109-4839
Phone: (717) 657-3030
Fax: (717) 671-0991
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD037735E Pennsylvania

Profile Details

NPI number 1437119401
LBN Legal business name Kelly, Kevin James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Dec 10th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437119401 NPPES
Pennsylvania MEDICAID 007100474

Popular Providers