National Provider Identifier Database

KELLY M BETHEA, MD – NPI #1992705115
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

KELLY M BETHEA, MD
5501 OLD YORK RD
PALEY 1ST FLOOR
PHILADELPHIA, PA19141-3018
Phone: 215-456-7170
Fax: 215-456-4923
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for KELLY M BETHEA

NPI Number 1992705115
Credentials MD
Entity Individual
Enumeration date 07/29/2005
Last updated 08/28/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 226589
  • PA License #: MD070520L
  • NY Medicaid: 02354483
  • PA Medicaid: 102377102
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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