Individual
JAMES M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 LARKSPUR LANE, EPHRATA, PA 17522-8402
(717) 738-0660
(717) 738-0658
Mailing address
101 LARKSPUR LANE, EPHRATA, PA 17522-8402
(717) 738-0660
(717) 738-0658
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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