Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN J KELLY, M.D.
Active Sole ProprietorKEVIN J KELLY, M.D. is a Pediatric Gastroenterology healthcare provider located in WILLOW GROVE, Pennsylvania. NPI 1902807548 is currently active in the NPPES registry. Verify at CMS.
Pediatric Gastroenterology · WILLOW GROVE, PA
Registration Details
- NPI Number
- 1902807548
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2005 (21.067053175852 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD-057754-L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2701 BLAIR MILL RDSUITE 6WILLOW GROVE, PA, 190901041Browse PA providers · Browse ZIP 19090
- Phone
- 2152938800
- Fax
- 2152939053
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
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.