MICHAEL MARTIN KELLY CRNP
NPI 1508501396
Pediatrics in King Of Prussia, PA

Q: What is Michael Kelly's NPI number?

The NPI number for Michael Kelly is 1508501396. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Q: What is Michael Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Kelly was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since May 05, 2022

550 S GODDARD BLVD, KING OF PRUSSIA, PA 19406(445) 428-3000 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael Martin Kelly Crnp NPPES

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

MICHAEL MARTIN KELLY CRNP (NPI 1508501396) is an individual pediatrics provider in King Of Prussia, Pennsylvania, licensed in Pennsylvania (SP025663) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1508501396

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMICHAEL MARTIN KELLYCredential: CRNP

Location Address550 S GODDARD BLVDKing Of Prussia, PA 19406-2922

Mailing Address1125 Lindale AveDrexel Hill, PA 19026-3221

Phone(445) 428-3000

Sole ProprietorNo

Enumeration DateMay 5, 2022

NPPES CertifiedMay 5, 2022

✔ NPI 1508501396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · SP025663

Definition

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.

550 S GODDARD BLVD, King Of Prussia, PA 19406

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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.

MARGARET HESSER MARSELLO MSN, RN, CPNP-PC

Nurse Practitioner (Pediatrics)