Individual
DR. MICHAEL E. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
832 BRUNSWICK AVE, TRENTON, NJ 08638-3847
(609) 396-2600
(609) 396-3600
Mailing address
832 BRUNSWICK AVE, TRENTON, NJ 08638-3847
(609) 396-2600
(609) 396-3600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB08933000
NJ
208600000X
Surgery Physician
OS014239
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0304221
—
NJ
Enumeration date
10/07/2008
Last updated
04/26/2021
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