Individual
JEAN ALEXANDRA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
564 BIERYS BRIDGE RD, BETHLEHEM, PA 18017-1144
(610) 868-4475
Mailing address
564 BIERYS BRIDGE RD, BETHLEHEM, PA 18017-1144
(610) 868-4475
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1959811
NY
2085R0202X
Diagnostic Radiology Physician
21569
VA
2085R0202X
Diagnostic Radiology Physician
22349
NC
2085R0202X
Diagnostic Radiology Physician
29302
IA
2085R0202X
Diagnostic Radiology Physician
35065676K
OH
2085R0202X
Diagnostic Radiology Physician
4301025279
MI
2085R0202X
Diagnostic Radiology Physician
D21005
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD014781E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0919389
—
PA
Enumeration date
06/26/2006
Last updated
07/08/2007
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