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Individual
MICHAEL PATRICK KELLY
Active
Individual
MICHAEL PATRICK KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A100116
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
2010008619
MO
207XS0117X
Orthopaedic Surgery of the Spine Physician
A100116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205620107
—
MO
Enumeration date
03/09/2007
Last updated
03/16/2026
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