Suzanne Kay Kelley, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS003971L Issued in PA

Practice address

3721 Tecport Dr
Harrisburg, PA 17111-1219

Phone

(717) 540-6777

Fax

(717) 671-2459

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275637795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 MARYLAND CT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129115",
            "telephone_number": "717-545-8052",
            "fax_number": "717-545-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 TECPORT DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111219",
            "telephone_number": "717-540-6777",
            "fax_number": "717-671-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "SUZANNE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003971L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David K. Kelley, MD
• Janet K. Kelley, PH.D.
• Melissa Rae Kelley, LSW
• Michele Renee Kelley, MPT
• Sheila L Kelley, MS, LPC
• Jasmine Kelliehan
• Dana Sterling Kellis, MD
• Briana C Kelly, BA
• Emily Kelly, DO
• Kevin James Kelly, MD

• Family Medicine Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.