DOUGLAS W KELLY MD PC
Medical Practice at 19 Ave, Phoenix, AZ

License number
Arizona 12896
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: DR. DOUGLAS W KELLY M.D.
Title: PRESIDENT
Phone: (602) 242-7691
Address
Address
5501 N 19Th Ave SUITE 432, Phoenix, AZ 85015
National Provider ID: 1205171402
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DOUGLAS W. KELLY, M.D., PC

5501 N 19 Ave #432, Phoenix, AZ 85015

Industry:
Orthopedic Physician, Offices and Clinics of Medical Doctors
Doing business as:
Douglas W Kelly MD PC<br>Douglas W Kelly MD
Registration:
Jun 8, 1989
Phone:
(602) 242-7691 (Phone)
Description:
Offices of Physicians (except Mental Health Specialists)
State ID:
-0215054-7
Expiration:
PERPETUAL
Manager, Office Manager, Executives:
Douglas W Kelly (President, Surgery-Orthopedic, Medical Doctor), 104 W Vis Ave, Phoenix, AZ 85021 (Physical),Liz Kelly (Office Manager),Sue Maida Manager, Office Manager, Executive, inactive
SIC:
8011 - Offices and Clinics of Doctors of Medicine
Categories:
Physicians & Surgeons
Company size:
4

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