John J Kelly
Otolaryngology/Facial Plastic Surgery
579 W Moorwood St
Green Valley
, Arizona 85614-5980
John J Kelly
Otolaryngology/Facial Plastic Surgery
579 W Moorwood St
Green Valley
, Arizona 85614-5980
(414) 737-9122
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- John J Kelly
- 579 W Moorwood St
- Green Valley, AZ
- Zip : 85614-5980
- Phone : (414) 737-9122
Second Address
- John J Kelly
- 579 W Moorwood St
- Green Valley, AZ
- Zip : 85614-5980
- Phone : (414) 737-9122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25987 | AZ |
National Provider Identifier
| NPI | 1629530712 |
|---|---|
| Provider Name | John J Kelly |
| First Address | Green Valley, AZ 85614-5980 |
| Second Address | Green Valley, AZ 85614-5980 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/04/2019 |
| Last Update Date | 05/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.