Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN D KELLY, MD
ActiveDR. BRIAN D KELLY, MD is a Sports Medicine (Pediatrics) healthcare provider located in PHOENIX, Arizona. NPI 1053637736 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · PHOENIX, AZ
Registration Details
- NPI Number
- 1053637736
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2010 (16.133987538669 yrs)
- Last Updated
- Jan 11, 2023
- Licenses
-
50745 (AZ)258848 (MA)50745 (AZ)
Practice Information
- Address
-
1919 E THOMAS RDPHOENIX, AZ, 850167710Browse AZ providers · Browse ZIP 85016
- Phone
- 6029333033
- Fax
- 6029335245
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Sports Medicine (Pediatrics)
Other Sports Medicine (Pediatrics) Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. RANDON TRENERE HALL | M.D. | 1942473749 |
| DR. ERIC S BOWMAN | DO | 1871755157 |
| MISS JENNIFER DANIELLE GAITLEY | M.D. | 1528321569 |
| KAREN MARIE VAZ | MD | 1144800368 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.