Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN J KELLY, MD
Active Sole ProprietorJOHN J KELLY, MD is a Facial Plastic Surgery healthcare provider located in GREEN VALLEY, Arizona. NPI 1629530712 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · GREEN VALLEY, AZ
Registration Details
- NPI Number
- 1629530712
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2019 (7.3688838894299 yrs)
- Last Updated
- Apr 5, 2019
- Licenses
-
25987 (AZ)25987 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
579 W MOORWOOD STGREEN VALLEY, AZ, 856145980Browse AZ providers · Browse ZIP 85614
- Phone
- 4147379122
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
- Additional Specialty
- Facial Plastic Surgery
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.