JEAN ALEXANDRA KELLY MD NPI 1871520924

NPI Information

NPI: 1871520924
Provider Name: JEAN ALEXANDRA KELLY, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
564 BIERYS BRIDGE RD
BETHLEHEM, PA
ZIP 18017
Phone: (610) 868-4475
Get Directions

Jean Alexandra Kelly, MD is a diagnostic radiology radiology in Bethlehem, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jean Alexandra Kelly, MD NPI is 1871520924. 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:

564 BIERYS BRIDGE RD
BETHLEHEM, PA
ZIP 18017-144
Phone: (610) 868-4475

The enumeration date for this NPI number is 6/26/2006 and was last updated on 7/8/2007.

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	2085R0202X	Radiology	Diagnostic Radiology	4301025279	MICHIGAN	No
2	2085R0202X	Radiology	Diagnostic Radiology	21569	VIRGINIA	No
3	2085R0202X	Radiology	Diagnostic Radiology	D21005	MARYLAND	No
4	2085R0202X	Radiology	Diagnostic Radiology	22349	NORTH CAROLINA	No
5	2085R0202X	Radiology	Diagnostic Radiology	29302	IOWA	No
6	2085R0202X	Radiology	Diagnostic Radiology	35065676K	OHIO	No
7	2085R0202X	Radiology	Diagnostic Radiology	1959811	NEW YORK	No
8	2085R0202X	Radiology	Diagnostic Radiology	MD014781E	PENNSYLVANIA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0919389	MEDICAID	PENNSYLVANIA
2	C29056	MEDICARE UPIN
3	KE074053	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA

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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