Organization
HABIB R. KELLY M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HABIB R KELLY M.D. (PRESIDENT)
(215) 333-7437
Entity
Organization
Contact information
Practice address
6112 TORRESDALE AVE, PHILADELPHIA, PA 19135-3718
(215) 333-7437
(215) 333-9558
Mailing address
6112 TORRESDALE AVE, PHILADELPHIA, PA 19135-3718
(215) 333-7437
(215) 333-9558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD031034L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005884910003
—
PA
01
—
0053497000
HIPAA
PA
01
—
1407853849
INDIVIDUAL NPI
PA
Enumeration date
03/15/2007
Last updated
08/22/2020
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