Individual
MR. ANDREW JOHN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
824 MAIN STREET, SUITE 100, PHOENIXVILLE, PA 19460
(610) 935-7300
Mailing address
824 MAIN STREET, SUITE 100, PHOENIXVILLE, PA 19460
(610) 935-7300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002419L
PA
Other
Enumeration date
08/31/2006
Last updated
10/19/2012
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