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Search › Wisconsin › 207X00000X

Mick Kelly, MD

NPI 1053793208 · on the registry since 2015

Practice

Address
N15w28300 Golf Rd
Pewaukee, WI 53072
Phone
(262) 303-5055
Fax
(262) 303-5057
Organisation at this address
The Orthopaedic Surgery Center Llc
Orthopaedic Associates Of Wisconsin, Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

Additional practice sites

  • 590 S Wakara Way, Salt Lake City, UT

Registry record

Primary taxonomy
207X00000X
207X00000X
Also registered as
207X00000X
207XS0114X
Licence states on file
IL, UT, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin