Douglas Wayne Kelly, M.D.

NPI #1104924158 in Phoenix, Arizona

Provider Information

NPI Number
1104924158
Entity Type
Individual
Name
Douglas Wayne Kelly, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Orthopaedic Surgery - Sports Medicine
Credential
M.D.
Enumeration Date
Sep 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
5501 N 19TH AVE
Address 2
432
State
Arizona
ZIP Code
85015-2450
Phone
(602) 242-7691

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery - Sports MedicineSports Medicine

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