Organization
INDIANA PEDIATRIC ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONNA KELLER RN (OFFICER MANAGER)
(724) 463-0476
Entity
Organization
Contact information
Practice address
2255 PHILADELPHIA ST STE A, INDIANA, PA 15701-1595
(724) 463-0476
(742) 463-1196
Mailing address
2255 PHILADELPHIA ST, STE A AND STE B, INDIANA, PA 15701-1595
(724) 463-0476
(742) 463-1196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011670020001
—
PA
Enumeration date
02/27/2007
Last updated
03/09/2026
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