Douglas W Kelly MD PC

NPI #1205171402 in Phoenix, Arizona

Provider Information

NPI Number: 1205171402
Entity Type: Organization
Organization Name: Douglas W Kelly MD PC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Nov 29, 2012
Last Updated: Nov 29, 2012

Practice Location

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

Authorized Official

Name: DR. DOUGLAS W KELLY, M.D.
Title: PRESIDENT
Phone: (602) 242-7691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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