JESSICA KELLY MD NPI 1760973416

NPI Information

NPI: 1760973416
Provider Name: JESSICA KELLY, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-1000
Get Directions

Jessica Kelly, MD is a pediatric emergency medicine pediatrics in Philadelphia, PA. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Jessica Kelly, MD NPI is 1760973416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 590-1000

The NPI 1760973416 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2018 and was last updated on 6/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		LP04242	RHODE ISLAND	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	MT222159	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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