Kellyn Foundation

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

KELLYN FOUNDATION

Practice address

2820 Emrick Boulevard
Bethlehem, PA 18020

Phone

(610) 730-8860

NPI assigned

Nov 19, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Eric J. Ruth

Title

Co-Founder/Ceo

Phone

(610) 730-8860

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1861720575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E GOEPP ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180184122",
            "telephone_number": "610-730-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 EMRICK BOULEVARD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18020",
            "telephone_number": "610-730-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLYN FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "RUTH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CO-FOUNDER/CEO",
        "authorized_official_telephone_number": "610-730-8860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Francis Kelly, D.O.
• Jean Alexandra Kelly, MD
• Kathleen E Kelly, CRNA
• Rachel Kelly, MACP, NCC, LPC
• Samantha Kelly, LPC
• Curtis Gale Kemmerer, M. DIV., LMFT
• Mark Kender, MD
• Kalif Kendig, DO
• Nichole M Kendig, CRNP
• Kendrick Counseling LLC

• Voluntary or Charitable Agency in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Voluntary or Charitable Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.