# JON A KELLY DPM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144437740
- **Authorized official:** DR. JON A. KELLY D.P.M. (OWNER AND OPERATOR)
- **Authorized official phone:** (412) 673-9222

## Contact information

- **Practice address:** 1601 LINCOLN WAY, WHITE OAK, PA 15131-1720
- **Practice address phone:** (412) 673-9222
- **Practice address fax:** (412) 673-0022
- **Mailing address:** 1601 LINCOLN WAY, WHITE OAK, PA 15131-1720
- **Mailing address phone:** (412) 673-9222
- **Mailing address fax:** (412) 673-0022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC003063L | PA | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 11/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0010971010011 | — | PA |
| 01 | — | 1396761268 | INDIVIDUAL NPI | PA |
| 01 | — | 602340 | HIGHMARK GROUP NUMBER | PA |