Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL KELLY, D.O.
Active Sole ProprietorSleep Medicine · WEST ORANGE, NJ
Registration Details
- NPI Number
- 1265583884
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2007 (19.275016718024 yrs)
- Last Updated
- May 3, 2024
- License
-
25MB07620900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
776 NORTHFIELD AVEWEST ORANGE, NJ, 07052Browse NJ providers · Browse ZIP 07052
- Phone
- 9737361939
- Fax
- 9737361937
- Primary Specialty
-
Sleep Medicine
207RS0010X
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.