Individual provider · Type 1 NPI

Thomas Joseph Kelly Iv

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1871294801 Active

Practice location

617 N 18th St Apt 301
Philadelphia, PA 19130-3389

Call (609) 947-6423 Map

Mailing address

4170 City Ave
Philadelphia, PA 19131-1610

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1871294801

Thomas Joseph Kelly Iv's National Provider Identifier is 1871294801, issued on Mar 16, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 16, 2023.