Kelly, Deborah S

Kelly, Deborah S is an individual health care provider with primary practice located at 51 N 39Th St Scheie Eye Institute, Philadelphia PA 19104-2640. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Kelly, Deborah S can be contacted via phone (215) 662-8113.

Contact Information

Primary practice address
51 N 39Th St Scheie Eye Institute Philadelphia PA 19104-2640
Phone: (215) 662-8113
Fax: (215) 243-4695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD068639L Pennsylvania

Profile Details

NPI number 1073507703
LBN Legal business name Kelly, Deborah S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Oct 26th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073507703 NPPES
Pennsylvania MEDICAID 1239987

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