Individual
DR. KRISTINE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 PENN AVE, SCRANTON, PA 18503-1921
(570) 342-7864
(570) 342-7119
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
MD-032146-E
PA
208600000X
Surgery Physician
Primary
MD032146E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011243520001
—
PA
Enumeration date
01/30/2006
Last updated
01/20/2022
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