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Contact Information

KRISTINE KELLEY, MD
225 PENN AVE
SCRANTON, PA18503-1921
 Phone: 570-342-7864
 Fax: 570-342-7119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for KRISTINE KELLEY · (Female)

NPI # 1811968621
Status Active
Credentials MD
Entity Individual
Enumeration date 01/30/2006
Last updated 01/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD-032146-E
  • PA License # MD032146E
  • PA Medicaid 0011243520001
Hospital affiliation(s)
  • GEISINGER - COMMUNITY MEDICAL CENTER - (Acute Care)
    1822 MULBERRY STREET
    SCRANTON, PA 18510
  • MOSES TAYLOR HOSPITAL - (Acute Care)
    700 QUINCY AVENUE
    SCRANTON, PA 18510
  • REGIONAL HOSPITAL OF SCRANTON - (Acute Care)
    746 JEFFERSON AVENUE
    SCRANTON, PA 18501
  • WAYNE MEMORIAL HOSPITAL - (Acute Care)
    601 PARK STREET
    HONESDALE, PA 18431
  • WILKES-BARRE GENERAL HOSPITAL - (Acute Care)
    575 NORTH RIVER STREET
    WILKES-BARRE, PA 18764
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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