DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA KEAKEALANI CARRILLO, DPM

Active

JESSICA KEAKEALANI CARRILLO, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1508684697 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · PHILADELPHIA, PA

Registration Details

NPI Number
1508684697
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2024 (1.9173393074908 yrs)
Last Updated
Jun 23, 2025
Licenses
SC007586 (PA)
SC007586 (PA)

Practice Information

Address
3401 N BROAD ST
PHILADELPHIA, PA, 191405189
Browse PA providers · Browse ZIP 19140
Phone
8008367536
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in PHILADELPHIA, PA

Name Credential NPI
DR. MARYANN P HARTZELL DPM 1265439814
STEVEN SHANNON DPM 1669460101
DR. BENSON WEINSTOCK D.P.M. 1578534426
YOUSSEF MOHAMMED KABBANI DPM 1922059559
DR. DAVID GARY GELTZER DPM 1326091141
HOMYAR NOSHIR KARANJIA DPM 1871547471
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.