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Contact Information

ANDREW J KELLY, PA-C
824 MAIN STREET, SUITE 100
PHOENIXVILLE, PA19460
 Phone: 610-935-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

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

NPI # 1073625018
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/31/2006
Last updated 10/19/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MA002419L
Hospital affiliation(s)
  • HOSPITAL OF UNIV OF PENNSYLVANIA - (Acute Care)
    34TH & SPRUCE STS
    PHILADELPHIA, PA 19104
  • PHOENIXVILLE HOSPITAL - (Acute Care)
    140 NUTT ROAD
    PHOENIXVILLE, PA 19460
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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