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Lawrence J Kelly

Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon

12361 W Bola Dr Suite 100
Surprise , Arizona 85378-9021

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Lawrence J Kelly

Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon

12361 W Bola Dr Suite 100
Surprise , Arizona 85378-9021

(623) 584-8998

Write a Review Save Call

Lawrence J Kelly

Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon

12361 W Bola Dr Suite 100
Surprise , Arizona 85378-9021

(623) 584-8998 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Orthopaedic Surgeon
  • Sports Medicine Orthopaedic Surgeon

Languages spoken

  • English

Location

12361 W Bola Dr Suite 100 Surprise , Arizona 85378-9021

First Address

  • Lawrence J Kelly
  • 12361 W Bola Dr Suite 100
  • Surprise, AZ
  • Zip : 85378-9021
  • Fax : (623) 584-8998
  • Phone : (623) 584-5626

Second Address

  • Lawrence J Kelly
  • 12361 W Bola Dr Suite 100
  • Surprise, AZ
  • Zip : 85378-9021
  • Fax : (623) 584-8998
  • Phone : (623) 584-5626

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FAQs


Where did Lawrence J Kelly attend graduate school?

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Where did Lawrence J Kelly do his residency?

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Where did Lawrence J Kelly do his fellowship?

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Is Lawrence J Kelly board certified?

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What type of doctor is Lawrence J Kelly

Orthopaedic Surgeon

In what state does Lawrence J Kelly practice in?

Arizona

Where is Lawrence J Kelly ’s practice located?

12361 W Bola Dr Suite 100 , Surprise, Arizona, 85378-9021

What is Lawrence J Kelly ’s gender?

Male

Is Lawrence J Kelly a sole practitioner?

No

Is Lawrence J Kelly accepting new patients?

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What languages does Lawrence J Kelly speak?

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Does Lawrence J Kelly accept insurance?

Yes, Lawrence J Kelly accepts insurance

Does Lawrence J Kelly offers telemedicine?

Lawrence J Kelly has not indicated if he offers telemedicine

What is Lawrence J Kelly ’s professional license number?

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What is Lawrence J Kelly ’s NPI number?

1124014758

Does Lawrence J Kelly have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207X00000X Orthopaedic Surgeon 27172 AZ
N 207XX0005X Sports Medicine Orthopaedic Surgeon 35083 AZ

National Provider Identifier

NPI 1124014758
Provider Name Lawrence J Kelly
First Address Surprise, AZ 85378-9021
Second Address Surprise, AZ 85378-9021
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 20/09/2005
Last Update Date 06/06/2016

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1124014758 AHCCCS (01) AZ
2036792 UNITED HEALTHCARE (01) AZ
2Z1651 HEALTHNET (01) AZ
514829 (05) AZ
5920416 AETNA (01) AZ
G27850 (02)
P00188666 RAILROAD MEDICARE (01) AZ
P0836100 BCBS OUT OF AREA (01) AZ

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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