| Doctor Name: | DR. JOHN THOMAS KELLY |
| NPI Number: | 1164758892 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD053323L |
| Business Practice Address: | 900 Bryn Mawr Ave Penn Valley, PA - 190721404 |
| Business Phone Number: | 2155274684 |
| Business Fax Number: | |
| Mailing Address: | Po Box 780, PENN VALLEY |
| State: | PA |
| Postal Code: | 190720780 |
| Phone Number: | 2155274684 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2009 |
| NPI Last Update Date: | 10/31/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2083P0901X |
| License Number: | MD053323L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Preventive Medicine |
| Taxonomy Specialization: | Public Health & General Preventive Medicine |
| Taxonomy Definition: | Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |