Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOUGLAS WAYNE KELLY, M.D.

Active Sole Proprietor

DOUGLAS WAYNE KELLY, M.D. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in PHOENIX, Arizona. NPI 1104924158 is currently active in the NPPES registry. Verify at CMS.

Adult Reconstructive Orthopaedic Surgery · PHOENIX, AZ

Registration Details

NPI Number: 1104924158
Provider Type: Individual
Gender: Male
NPI Issued: Sep 20, 2006 (19.888480735334 yrs)
Last Updated: Jul 8, 2007
License: 12896 (AZ)
Sole Proprietor: Yes

Practice Information

Address: 5501 N 19TH AVE

432

PHOENIX, AZ, 850152450
Browse AZ providers · Browse ZIP 85015
Phone: 6022427691
Fax: 6022427265
Primary Specialty: Adult Reconstructive Orthopaedic Surgery
207XX0005X

Other Adult Reconstructive Orthopaedic Surgery Providers in PHOENIX, AZ

Name	Credential	NPI
DR. ERIC N NOVACK	M.D.	1003881442
DR. CHRISTOPHER SABIN CRANFORD	M.D.	1255399200
DR. RICHARD C. MARTIN	M.D.	1487602314
DR. MICHAEL ANTHONY SEIVERT	D.O.	1437175783
DR. ANUP AJIT SHAH	MD	1336323799
TYLER COLLINS	MD	1568631919

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.