MICHAEL M. KELLY CRNP – NPI #1508501396
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MICHAEL KELLY is a physician located in KING OF PRUSSIA, PA. NPPES has assigned the NPI number 1508501396 to MICHAEL KELLY on May 05, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL KELLY below.

NPI Profile for
MICHAEL M. KELLY

NPI Number
1508501396
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL M. KELLY
Credentials
CRNP
Primary location
550 S GODDARD BLVD
KING OF PRUSSIA, PA 19406-2922
Phone: (445) 428-3000 Fax:
Mailing address
1125 LINDALE AVE
DREXEL HILL, PA 19026-3221
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
May 05, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
PA SP025663

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.