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

Dr. Phillip Justin Kelly

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1598535619

Dr. Phillip Justin Kelly is a Student in an Organized Health Care Education/Training Program in Lithonia, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

8075 Mall Pkwy Ste 103
Lithonia, GA 30038-6993
Phone: (770) 484-2955
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1598535619
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 9, 2024
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024

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