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Contact Information

JOHN R KELLY, MD
357 GENESEE STREET
ONEIDA SURGICAL GROUP PC
ONEIDA, NY13421
 Phone: 315-363-8800
 Fax: 315-363-0103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN R KELLY · (Male)

NPI Number 1629151949
Status Active
Credentials MD
Entity Individual
Enumeration date 10/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 181918
  • NY Medicaid 01192492
  • Other 5897089 AETNA US HEALTHCARE
  • Other 00911284001 BS OF NORTHEASTERN NY
  • Other 0100576 GHI
  • Other 22160 HEALTHSOURCE HMO NY
  • Other 025001 MVP
  • Other 00040192301 UNIVERA
Hospital affiliation(s)
  • ONEIDA HEALTHCARE CENTER - (Acute Care)
    321 GENESEE STREET
    ONEIDA, NY 13421
  • ST ELIZABETH MEDICAL CENTER - (Acute Care)
    2209 GENESEE STREET
    UTICA, NY 13501
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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