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Contact Information

J P KELLY, PHD
475 MARKET ST
FIRST FLOOR
ELMWOOD PARK, NJ07407-3126
 Phone: 201-791-1499
 Fax: 201-791-3529
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for J P KELLY · (Male)

NPI Number 1184642597
Status Active
Credentials PHD
Entity Individual
Enumeration date 07/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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