Organization
DOUGLAS W KELLY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS W KELLY M.D. (PRESIDENT)
(602) 242-7691
Entity
Organization
Contact information
Practice address
5501 N 19TH AVE, SUITE 432, PHOENIX, AZ 85015-2450
(602) 242-7691
(602) 242-7265
Mailing address
5501 N 19TH AVE, SUITE 432, PHOENIX, AZ 85015-2450
(602) 242-7691
(602) 242-7265
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12896
AZ
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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