Organization
JOHN J KELLY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J KELLY MD PC (PHYSICIAN)
(517) 423-9300
Entity
Organization
Contact information
Practice address
3606 W LIBERTY RD, ANN ARBOR, MI 48103-9049
(734) 929-9451
Mailing address
3124 SUNNYWOOD DR, ANN ARBOR, MI 48103-2063
(734) 929-9451
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301057968
MI
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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