Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN T KELLY, MD
ActiveKEVIN T KELLY, MD is a Sports Medicine (Emergency) healthcare provider located in WELLINGTON, Florida. NPI 1750323747 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · WELLINGTON, FL
Registration Details
- NPI Number
- 1750323747
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2006 (20.213362441467 yrs)
- Last Updated
- Jul 14, 2021
- Licenses
-
ME56260 (FL)ME56260 (FL)
Practice Information
- Address
-
1397 MEDICAL PARK BLVDSUITE 240WELLINGTON, FL, 334143186Browse FL providers · Browse ZIP 33414
- Phone
- 5617843788
- Fax
- 9542293100
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
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.