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John James Kelly
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1235633470

John James Kelly is a Student in an Organized Health Care Education/Training Program based in Atlanta, PA. John James Kelly practices in Philadelphia, PA. The NPI Number for John James Kelly is 1235633470 and holds a License No. MT216144 (Pennsylvania).

The current practice location address for John James Kelly is 3400 Spruce St, Philadelphia, PA and can be reached out via phone at 215-662-2022.

Location: 3400 Spruce St, Philadelphia, PA, 30307-5617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235633470
Provider Name
John James Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
3400 Spruce St, Philadelphia, PA, 30307-5617
Phone Number
215-662-2022
Fax Number
Provider Enumeration Date
03/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3400 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19104
Phone Number
215-662-2022
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19104
Phone Number
215-662-2022
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
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Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MT216144 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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