Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICK KELLY, MD
ActiveMICK KELLY, MD is a Orthopaedic Surgery healthcare provider located in PEWAUKEE, Wisconsin. NPI 1053793208 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · PEWAUKEE, WI
Registration Details
- NPI Number
- 1053793208
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2015 (11.154454643687 yrs)
- Last Updated
- Dec 14, 2021
- Licenses
-
125066593 (IL)11729390-1205 (UT)75716 (WI)
Practice Information
- Address
-
N15W28300 GOLF RDPEWAUKEE, WI, 530724800Browse WI providers · Browse ZIP 53072
- Phone
- 2623035055
- Fax
- 2623035057
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
- Additional Specialty
- Sports Medicine (Orthopaedic)
- Additional Specialty
- Orthopaedic Surgery
Other Orthopaedic Surgery Providers in PEWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| DR. SCOTT BENNETT SCHNEIDER | M.D. | 1134124803 |
| DR. RICK FRANK PAPANDREA | M.D. | 1952383531 |
| MR. DANIEL PATRICK HOLUB | M.D. | 1629050216 |
| MR. THOMAS SCOTT STANWYCK | M.D. | 1265414866 |
| MR. HONGSHENG ZHU | M.D. | 1396727905 |
| MR. WILLIAM ALEXANDER DAVIES | M.D. | 1104809458 |
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.