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Individual
ERIN C. KELLY
Active
Individual
ERIN C. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS014066
PA
207R00000X
Internal Medicine Physician
OS014066
PA
208M00000X
Hospitalist Physician
OS014066
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019900220001
—
PA
05
—
1019900220002
—
PA
05
—
1019900220003
—
PA
01
—
1984269
HIGHMARK BLUE SHIELD
PA
01
—
2861422000
KEYSTONE IBC
PA
01
—
30046041
KEYSTONE MERCY
PA
01
—
39168
HEALTH PARTNERS
PA
01
—
452729
AETNA CONTRACT
PA
Enumeration date
06/18/2007
Last updated
05/19/2008
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