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JOHANNA KELLY M.D.
NPI 1861454159
Pediatrics in Wyomissing, PA

Active since April 04, 2006
40 BERKSHIRE CT, WYOMISSING, PA 19610(610) 374-7400(610) 374-4252 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johanna Kelly M.d. NPPES

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

JOHANNA KELLY M.D. (NPI 1861454159) is an individual pediatrics provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (MD063346L) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1861454159
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJOHANNA KELLYCredential: M.D.
Location Address40 BERKSHIRE CTWyomissing, PA 19610-1224
Mailing Address40 Berkshire CtWyomissing, PA 19610-1224 · (610) 374-7400 · Fax (610) 374-4252
Phone(610) 374-7400
Fax(610) 374-4252
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateAugust 12, 2010
✔ NPI 1861454159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD063346L
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.
40 BERKSHIRE CT, Wyomissing, PA 19610
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Other Identifiers 2

Medicaid1661845PA
Medicare UPING14400PA

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.

TIFFANY L. SERGI M.D.
Pediatrics
40 BERKSHIRE CT
WYOMISSING, PA 19610
Berks County (610) 374-7400
JOE K. GEORGE D.O.
Pediatrics
40 BERKSHIRE CT, SUITE 1
WYOMISSING, PA 19610
Berks County (610) 374-7400
MRS. LAUREN MASTROMARINO ZERBE CRNP
Nurse Practitioner (Pediatrics)
40 BERKSHIRE CT
WYOMISSING, PA 19610
Berks County (610) 374-7400
KRISLYN MILLIGAN CRNP
Nurse Practitioner
40 BERKSHIRE CT
WYOMISSING, PA 19610
Berks County (610) 374-7400
AJ GIESA WYOMISSING, PLLC
Clinic/Center (Dental)
40 BERKSHIRE CT
WYOMISSING, PA 19610
Berks County (509) 627-9291
SANAND R. MENON M.D.
Pediatrics
40 BERKSHIRE CT
WYOMISSING, PA 19610
Berks County (610) 374-7400
MRS. CARRIE R. LAUER PA-C
Physician Assistant
40 BERKSHIRE CT, SUITE 1
WYOMISSING, PA 19610
Berks County (610) 374-7400
READING PEDIATRICS
Clinical Medical Laboratory
40 BERKSHIRE CT
WYOMISSING, PA 19610
Berks County (610) 374-7400

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 Johanna Kelly's NPI number?

The NPI number for Johanna Kelly is 1861454159. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Johanna Kelly located?

Johanna Kelly practices at 40 Berkshire Ct, Wyomissing, PA 19610. The listed phone number is (610) 374-7400.

What is Johanna Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Johanna Kelly was last updated on August 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.