Jon A Kelly Dpm in White Oak - Foot & Ankle Surgery

Jon A Kelly Dpm - NPI 1144437740

Jon A Kelly Dpm is a Foot & Ankle Surgery in White Oak, Pennsylvania. Jon A Kelly Dpm practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Jon A Kelly Dpm is 1144437740. The last update date is 2010-11-01.

Jon A Kelly Dpm's current location address is 1601 Lincoln Way, White Oak, Pennsylvania. You can contact this provider via phone number 4126739222 and fax number 4126730022. The mailing address for Jon A Kelly Dpm is 1601 Lincoln Way, White Oak, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jon A Kelly Dpm
Address 1601 Lincoln Way, White Oak, Pennsylvania
Phone Number 4126739222
Fax Number 4126730022
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER AND
Authorized Official Name Kelly A. Jon
Credentials D.P.M.
Telephone Number 4126739222

NPI Number Detail

NPI Number 1144437740
Provider Enumeration Date 2007-05-16
Last Updated Date 2010-11-01

Provider Mailing Address Detail

Address 1601 Lincoln Way
City White Oak
State Pennsylvania (PA)
Post Code 151311720
Phone Number 4126739222
Fax Number 4126730022

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No SC003063L
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10971010011 PA --
1396761268 PA INDIVIDUAL NPI
602340 PA HIGHMARK GROUP NUMBER

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FAQs about Jon A Kelly Dpm

What is the unique 10-digit identifier code assigned to Jon A Kelly Dpm by the Centers for Medicare & Medicaid Services?

The Jon A Kelly Dpm has been issued the NPI (National Provider Identifier) 1144437740 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Jon A Kelly Dpm located?

The Jon A Kelly Dpm is located at 1601 Lincoln Way, White Oak, PA 151311720.

What is the Jon A Kelly Dpm's specialty and taxonomy code?

The Jon A Kelly Dpm's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.

On what date did the Centers for Medicare & Medicaid Services assign the 1144437740 to Jon A Kelly Dpm?

The Centers for Medicare & Medicaid Services assigned the 1144437740 to Jon A Kelly Dpm on 2007-05-16.

As of what date was the information regarding Jon A Kelly Dpm, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jon A Kelly Dpm, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-11-01.

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