Individual
JOSEPH P KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12555 W NATIONAL AVE STE 100, NEW BERLIN, WI 53151-4061
(262) 395-4141
Mailing address
12555 W NATIONAL AVE STE 100, NEW BERLIN, WI 53151-4061
(262) 395-4141
(262) 395-4189
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
81454-21
WI
207X00000X
Orthopaedic Surgery Physician
O-1746
ID
Other
Enumeration date
06/26/2018
Last updated
01/14/2025
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