# JOHN J KELLY MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134301880
- **Authorized official:** JOHN J KELLY MD PC (PHYSICIAN)
- **Authorized official phone:** (517) 423-9300

## Contact information

- **Practice address:** 3606 W LIBERTY RD, ANN ARBOR, MI 48103-9049
- **Practice address phone:** (734) 929-9451
- **Mailing address:** 3124 SUNNYWOOD DR, ANN ARBOR, MI 48103-2063
- **Mailing address phone:** (734) 929-9451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4301057968 | MI | Yes |

## Other

- **Enumeration date:** 12/04/2007
- **Last updated:** 12/04/2007