Individual
DR. KELLY TAYLOR PERETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-5810
(610) 954-5480
Mailing address
PO BOX 500, SOUDERTON, PA 18964-0500
(610) 954-5810
(610) 954-5480
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA09947900
NJ
207L00000X
Anesthesiology Physician
MD457241
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
25MA09947900
NJ
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
MD457241
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA09947900
LICENSE
NJ
01
—
MD457241
LICENSE
PA
Enumeration date
03/22/2011
Last updated
01/12/2026
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