Kelly, Peter Douglas

Kelly, Peter Douglas is an individual health care provider with primary practice located at 3400 Spruce St 1 Maloney Building, Philadelphia PA 19104-4238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Kelly, Peter Douglas can be contacted via phone (215) 662-3957.

Contact Information

Primary practice address
3400 Spruce St 1 Maloney Building Philadelphia PA 19104-4238
Phone: (215) 662-3957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD429717 Pennsylvania

Profile Details

NPI number 1770649071
LBN Legal business name Kelly, Peter Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Dec 22nd, 2021 - about 3 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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