Kelly, Jeanne Marie
Kelly, Jeanne Marie is an individual health care provider with primary practice located at 455 Woodview Rd Suite 100, West Grove PA 19390-9303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kelly, Jeanne Marie can be contacted via phone (610) 345-1900.Contact Information
Primary practice address
455 Woodview Rd Suite 100
West Grove PA 19390-9303
Phone: (610) 345-1900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD038235E | Pennsylvania |
Profile Details
| NPI number | 1790727147 |
|---|---|
| LBN Legal business name | Kelly, Jeanne Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Dec 4th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790727147 | NPPES |
| Delaware | MEDICAID | 0000357901 |
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