# AFFILIATED ENT, SC

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

## Provider details

- **NPI number:** 1265544498
- **Authorized official:** DR. JOHN J KELLY MD (PRESIDENT)
- **Authorized official phone:** (414) 475-9300

## Contact information

- **Practice address:** 2500 N MAYFAIR RD STE 450, MILWAUKEE, WI 53226-1443
- **Practice address phone:** (414) 475-9300
- **Mailing address:** N87W16462 JACOBSON DR, MENOMONEE FALLS, WI 53051-2833
- **Mailing address phone:** (262) 255-1040
- **Mailing address fax:** (262) 255-4090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 08/22/2020