Mick Kelly
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
N15w28300 Golf Rd
Pewaukee
, Wisconsin 53072-4800
Mick Kelly
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
N15w28300 Golf Rd
Pewaukee
, Wisconsin 53072-4800
(262) 303-5057
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Mick Kelly
- N15w28300 Golf Rd
- Pewaukee, WI
- Zip : 53072-4800
- Fax : (262) 303-5057
- Phone : (262) 303-5055
Second Address
- Mick Kelly
- N15w28300 Golf Rd
- Pewaukee, WI
- Zip : 53072-4800
- Fax : (262) 303-5057
- Phone : (262) 303-5055
Reviews
FAQs
Where did Mick Kelly attend graduate school?
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What type of doctor is Mick Kelly
In what state does Mick Kelly practice in?
Where is Mick Kelly ’s practice located?
What is Mick Kelly ’s gender?
Is Mick Kelly a sole practitioner?
Is Mick Kelly accepting new patients?
What languages does Mick Kelly speak?
Does Mick Kelly accept insurance?
Does Mick Kelly offers telemedicine?
What is Mick Kelly ’s professional license number?
What is Mick Kelly ’s NPI number?
Does Mick Kelly have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 125066593 | IL |
| Y | 207X00000X | Orthopaedic Surgeon | 75716 | WI |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 11729390-1205 | UT |
National Provider Identifier
| NPI | 1053793208 |
|---|---|
| Provider Name | Mick Kelly |
| First Address | Pewaukee, WI 53072-4800 |
| Second Address | Pewaukee, WI 53072-4800 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2015 |
| Last Update Date | 14/12/2021 |
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.