Individual
DR. JACK E KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
8906 MEYER AVE, BRIGHTON, MI 48116-2023
(440) 668-4438
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT018477
OH
Other
Enumeration date
06/05/2020
Last updated
03/06/2026
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