MEDICARE: DR. GEOFFREY JOSEPH KELLY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	MD494069	PA

General Provider Information

NPI Number	:	1477137842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEOFFREY JOSEPH KELLY MD

Provider Business Mailing Address
First Line	:	3600 FORBES AVE STE 140
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3410
Country	:	US
Telephone Number	:	609-970-7376
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 LOTHROP ST STE E174
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2536
Country	:	US
Telephone Number	:	412-647-7338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2021
Last Update Date	:	03/16/2026

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