Search › Pennsylvania › 2085R0202X
Ian Kellman, MD
NPI 1023088382 · on the registry since 2006 · sole proprietor
Practice
- Address
- 625 Hampton Rd
Shaverton, PA 18708 - Phone
- (570) 881-3354
- Fax
- (570) 696-0174
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085B0100X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania