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Individual
JAMES M KELLY
Active
Individual
JAMES M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD428418
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016458260001
—
PA
01
—
107754 S1QF
GEISINGER HEALTH PLAN
PA
01
—
1429961
AETNA HMO
PA
01
—
1874597
HIGHMARK BLUE SHIELD
PA
01
—
50060203
CAPITAL BLUE CROSS
PA
01
—
50061893
CAPITAL BLUE CROSS
PA
01
—
50061968
CAPITAL BLUE CROSS
PA
01
—
50065832
CAPITAL BLUE CROSS
PA
01
—
7276819
AETNA NON-HMO
PA
01
—
I54742
HEALTH ASSURANCE
PA
01
—
P008054
GATEWAY HEALTH PLAN
PA
Enumeration date
06/19/2006
Last updated
08/28/2025
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