Kevin J Kelly, MD | |
2701 Blair Mill Rd, Suite 6, Willow Grove, PA 19090-1041 | |
(215) 293-8800 | |
(215) 293-9053 |
Full Name | Kevin J Kelly |
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Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 2701 Blair Mill Rd, Willow Grove, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1902807548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080P0206X | Pediatrics - Pediatric Gastroenterology | MD-057754-L (Pennsylvania) | Primary |
Entity Name | Childrens Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108 |
Mailing Address | Practice Location Address |
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Kevin J Kelly, MD 1804 Thornbury Dr, Maple Glen, PA 19002-2842 Ph: (215) 628-4530 | Kevin J Kelly, MD 2701 Blair Mill Rd, Suite 6, Willow Grove, PA 19090-1041 Ph: (215) 293-8800 |
John Kleback, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2510 Maryland Rd, Suite 160, Willow Grove, PA 19090 Phone: 215-672-6622 Fax: 215-672-6566 | |
Katherine Ann Mcgeary, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2510 Maryland Rd, #160, Willow Grove, PA 19090 Phone: 215-672-6622 | |
Colleen Gulczynski, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2510 Maryland Rd, Suite 160, Willow Grove, PA 19090 Phone: 215-672-6622 Fax: 215-672-6566 | |
Dr. Patricia Harger Holtz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2510 Maryland Rd, Suite 160, Willow Grove, PA 19090 Phone: 215-672-6622 Fax: 215-672-6566 | |
Dr. Nicole Marie Dominick-rizen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2510 Maryland Rd, Ste #160, Willow Grove, PA 19090 Phone: 215-672-6622 |