JOHN J. KELLEY ASSOC. LTD NPI 1023294402

NPI Information

JOHN J. KELLEY ASSOC., LTD is an ocularist technician technologist in Philadelphia, PA. JOHN J. KELLEY ASSOC., LTD NPI is 1023294402. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1528 WALNUT ST
SUITE 1801
PHILADELPHIA, PA
ZIP 19102-604
Phone: (214) 545-0939
Fax: (215) 545-0938

The provider's authorized official is Kevin V. Kelley .
The authorized official title is Predsident and has the following contact phone number (215) 545-0939.

The enumeration date for this NPI number is 1/15/2008 and was last updated on 1/15/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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