Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kelly Ann Dzialo, MD

Individual provider Pediatrics Physician · NPI 1407013246

Dr. Kelly Ann Dzialo, MD is a Pediatrics Physician in Philadelphia, Pennsylvania. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2008.

Licensed in
NJ, PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1233 Locust St Ste 400
Philadelphia, PA 19107-5453
Phone: (215) 545-8188
Fax: (215) 545-8446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD452160 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence 25MA08740500 (NJ)

Record details

NPI number1407013246
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2008
Last updated in NPPESAugust 12, 2014

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