Individual
DR. KELLY JEAN EBERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
234824
NY
208000000X
Pediatrics Physician
25MA11978600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02887378
—
NY
Enumeration date
03/06/2007
Last updated
01/06/2026
Update your record
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