Individual
JAMES KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8200 HENRY AVE STE G1, PHILADELPHIA, PA 19128-2953
(215) 482-2336
(215) 483-4389
Mailing address
8200 HENRY AVE STE G1, PHILADELPHIA, PA 19128-2953
(215) 482-2336
(215) 483-4389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059122
PA
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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