# JAMES M KELLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104861343
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD428418 | PA | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 08/28/2025

## 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 |