Jeffrey Kelly

NPI #1194898544 in Scranton, Pennsylvania

Provider Information

NPI Number: 1194898544
Entity Type: Individual
Name: Jeffrey Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Nov 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1800 MULBERRY ST
City: Scranton
State: Pennsylvania
ZIP Code: 18510-2369
Phone: (570) 969-8128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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