institution
Jon A Kelly Dpm
Foot & Ankle Surgery Podiatrist in White Oak, Pennsylvania
NPI 1144437740

Jon A Kelly Dpm is a Foot & Ankle Surgery Podiatrist based in White Oak, PA and is specialized in Foot & Ankle Surgery. Jon A Kelly Dpm practices in White Oak, PA. The NPI Number for Jon A Kelly Dpm is 1144437740 and holds a License No. SC003063L (Pennsylvania).

The current practice location address for Jon A Kelly Dpm is 1601 Lincoln Way, White Oak, PA and can be reached out via phone at 412-673-9222 and via fax at 412-673-0022.

Location: 1601 Lincoln Way, White Oak, PA, 15131-1720
institution
Provider Profile Details
NPI Number
1144437740
Provider Name
Jon A Kelly Dpm
Credential
Provider Entity Type
Organization
Address
1601 Lincoln Way, White Oak, PA, 15131-1720
Phone Number
412-673-9222
Fax Number
412-673-0022
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0010971010011 05 PA
1396761268 01 PA INDIVIDUAL NPI
602340 01 PA HIGHMARK GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
1601 Lincoln Way
City
State
Zip
15131-1720
Phone Number
412-673-9222
Fax Number
412-673-0022
person
Provider Business Mailing Address Details
Address
1601 Lincoln Way
City
State
Zip
15131-1720
Phone Number
412-673-9222
Fax Number
412-673-0022
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
SC003063L (Pennsylvania)
Definition
Definition to come...
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