Marianne Lutz Kelly, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD022014E Issued in PA

Practice address

415 Harrisburg Avenue
Lancaster, PA 17603-2827

Phone

(717) 291-4082

Fax

(717) 291-4277

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497861579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 WILSON DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032438",
            "telephone_number": "717-393-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HARRISBURG AVENUE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032827",
            "telephone_number": "717-291-4082",
            "fax_number": "717-291-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARIANNE",
        "middle_name": "LUTZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD022014E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "KE105411",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendell Everette Kellum, M.D.
• Andrew Paul Kelly, CRNA
• Audrie Morgan Lasater Kelly, MD
• Kailey Kelly, PT, DPT
• Lisa L Kelly, CRNP
• Marie Petters Kelly, DDS
• Megan Kelly
• Megan Elizabeth Kelly, MA CCC-SLP
• Megan Rene Kelly, LSW
• Sajdah Kelly

• Internal Medicine Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Internal 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.