Individual
MICK KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5055
(262) 303-5057
Mailing address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5055
(262) 303-5057
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125066593
IL
207X00000X
Orthopaedic Surgery Physician
Primary
75716
WI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
11729390-1205
UT
Other
Enumeration date
06/24/2015
Last updated
12/14/2021
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