WILLIAM KEVIN KELLY


Address: 925 Chestnut St, Suite 320a, Philadelphia, PA 19107-4216
Phone: 2159958874

WILLIAM KEVIN KELLY (NPI# 1013905512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013905512
Entity Type Individual
Full Name WILLIAM KEVIN KELLY
Credential DO
Practice Address 925 Chestnut St
Suite 320a
Philadelphia
PA 19107-4216
Practice Telephone 2159958874
Practice Fax Number 2159552340
Mailing Telephone 2159958874
Mailing Fax Number 2159552340
Enumeration Date 2005-10-10
Last Update Date 2011-05-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
OS006196L PA Allopathic & Osteopathic Physicians
N 207RX0202X Internal Medicine
Specialization: Medical Oncology
043422 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 001434224 05
PA 102474035 05
NJ 0232017 05

Other Providers WILLIAM KELLY

NPI Name Taxonomy Address Enumeration
1770138018 William Ayers Kelly Iv Specialist/Technologist 1520 Hurst St, Fort Bragg, NC 28308 2019-08-05
1629574637 William James Kelly Nurse Practitioner 590 George St, New Brunswick, NJ 08901-8531 2018-03-30
1881025302 William Nathaniel Kelly IIi Social Worker 4205 Park Blvd, San Diego, CA 92103-2512 2013-12-09
1548392822 William J. Kelly Counselor 22 Oak Tree Dr, N Kingstown, RI 02852-2035 2007-03-12
1699804567 William Charles Kelly Dentist 42448 Cherry Hill, Canton, MI 48187 2007-03-05
1548351372 William Huske Kelly Pediatrics 1606 Morganton Rd, Fayetteville, NC 28305-4738 2006-09-27
1013015908 William J Kelly Psychologist 343 S 3rd St, Coopersburg, PA 18036-2111 2006-09-21
1194766394 William Francis Kelly Physician Assistant 5100 Buckeystown Pike, Suite 186, Frederick, MD 21704-8336 2006-06-09
1689649402 William James Kelly Chiropractor 160 Sunset Manor Dr, Birdsboro, PA 19508-1018 2006-02-23
1730170374 William Sherwood Kelly Family Medicine 420 W Mountain St, Kernersville, NC 27284-2534 2005-11-02

Office Location

Street Address 925 CHESTNUT ST
SUITE 320A
City PHILADELPHIA
State PA
Zip Code 19107-4216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417953647 Paul Edward Sullivan Podiatrist 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 2005-06-22
1548868102 Mary Elizabeth Rodgers Social Worker 925 Chestnut St, Philadelphia, PA 19107-4216 2020-10-15
1679108559 Sarah Jane Miranda Internal Medicine 925 Chestnut St, Philadelphia, PA 19107-4216 2020-03-11
1558993493 Noam Shohat Student in an Organized Health Care Education/Training Program 925 Chestnut St, Philadelphia, PA 19107-4216 2020-02-09
1871130625 Scott Paul Sheridan Physical Therapist 925 Chestnut St, Philadelphia, PA 19107-4216 2019-11-27
1063057784 Stephanie Dipaolo Nurse Practitioner 925 Chestnut St, Philadelphia, PA 19107-4216 2019-11-18
1639732464 Alexander Duffy Student in an Organized Health Care Education/Training Program 925 Chestnut St, Philadelphia, PA 19107-4216 2019-04-17
1851856165 Haley Ann Klose Nurse Practitioner 925 Chestnut St, Philadelphia, PA 19107-4216 2019-01-31
1609347855 Kathryn Yingling Nurse Practitioner 925 Chestnut St, Philadelphia, PA 19107-4216 2018-12-16
1154808285 Linda H Roberts Social Worker 925 Chestnut St, Philadelphia, PA 19107-4216 2018-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457513038 Melissa A Wilson Internal Medicine 925 Chestnut St Fl 3, Philadelphia, PA 19107 2008-06-25
1780899120 Dinah Essilfie Internal Medicine 7604 Central Ave, Jeanes Hospital, Friends Hall, Bmt Program, Philadelphia, PA 19111-2442 2007-05-11
1922076025 Charles John Schneider Internal Medicine 3400 Civic Center Blvd Fl 3, Philadelphia, PA 19104-5127 2006-03-14
1023625878 Nallely Hernandez Internal Medicine 333 Cottman Ave, Philadelphia, PA 19111-2497 2020-09-25
1568006070 Stc Pediatrics LLC Internal Medicine 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-29
1417430166 Temple Faculty Practice Plan, Inc Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2018-09-10
1154740058 Emily Feld Internal Medicine 3400 Civic Center Blvd, Perelman Center South Pavilion, Room 10-134, Philadelphia, PA 19104 2014-04-08
1922340090 Fern Merrideth Anari Internal Medicine 333 Cottman Ave, Philadelphia, PA 19111 2013-03-26
1932449717 Jefferson University Physicians Internal Medicine 925 Chestnut St Ste 420, Philadelphia, PA 19107-4216 2013-02-15
1962741694 Jonathan Chernoff Internal Medicine 333 Cottman Ave, W455, Philadelphia, PA 19111 2013-01-31
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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