Healthcare Provider Details

I. General information

NPI: 1942268404
Provider Name (Legal Business Name): KELLI B POKORNY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELLI J BROWN M.D.

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 KING OF PRUSSIA ROAD SUITE 111 SOUTH
RADNOR PA
19087-4557
US

IV. Provider business mailing address

145 KING OF PRUSSIA ROAD SUITE 111 SOUTH
RADNOR PA
19087-4557
US

V. Phone/Fax

Practice location:
  • Phone: 610-902-1800
  • Fax: 610-902-1804
Mailing address:
  • Phone: 610-902-1800
  • Fax: 610-902-1804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD426296
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25MA10866300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: