HABIB R. KELLY M.D. NPI 1720112477

NPI Information

HABIB R. KELLY M.D. 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. HABIB R. KELLY M.D. NPI is 1720112477. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6112 TORRESDALE AVE
PHILADELPHIA, PA
ZIP 19135-718
Phone: (215) 333-7437
Fax: (215) 333-9558

The provider's authorized official is Habib R Kelly .
The authorized official title is President and has the following contact phone number (215) 333-7437.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.

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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