Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY FONG DDS
NPI 1295524213
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 05, 2025
240 S 40TH ST, PHILADELPHIA, PA 19104(215) 898-6555 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2026, May 5, 2025 (2 updates tracked since 2025).

About Kelly Fong Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY FONG DDS (NPI 1295524213) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1295524213
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameKELLY FONGCredential: DDS
Location Address240 S 40TH STPhiladelphia, PA 19104-6030
Mailing Address244 Moncada WaySan Francisco, CA 94127-2706 · (415) 361-2632
Sole ProprietorNo
Enumeration DateMay 5, 2025
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1295524213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DDS110547 (CA)
240 S 40TH ST, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Dentist (General Practice)
240 S 40TH ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Fong's NPI number?

The NPI number for Kelly Fong is 1295524213. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Kelly Fong located?

Kelly Fong practices at 240 S 40th St, Philadelphia, PA 19104. The listed phone number is (215) 898-6555.

What is Kelly Fong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelly Fong was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.