Individual
DR. ADRIENNE MARGARET KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
4301101907
MI
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
4301101907
MI
207XX0801X
Orthopaedic Trauma Physician
4301101907
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF96004
MEDICARE GROUP NUMBER
—
Enumeration date
10/23/2012
Last updated
12/03/2013
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