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MAUREEN P KELLY MD PC NPI 1134439037


NPI Information

NPI: 1134439037
Provider Name: MAUREEN P KELLY MD PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
822 PINE ST
SUITE 4B
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 829-8110
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MAUREEN P KELLY MD PC is a specialist in Philadelphia, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MAUREEN P KELLY MD PC NPI is 1134439037. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

822 PINE ST
SUITE 4B
PHILADELPHIA, PA
ZIP 19107-187
Phone: (215) 829-8110
Fax: (215) 829-8119

The provider's authorized official is Maureen P Kelly .
The authorized official title is President/medical Director and has the following contact phone number (215) 829-8110.

The enumeration date for this NPI number is 10/14/2010 and was last updated on 4/28/2023.


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
1174400000XSpecialistMD047210LPENNSYLVANIAYes

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: 5/5/2024

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