Individual provider · Type 1 NPI

Mick Kelly, MD

Orthopaedic Surgery Physician · Pewaukee, WI

NPI number 1053793208 Active

Practice location

N15W28300 Golf Rd
Pewaukee, WI 53072-4800

Call (262) 303-5055 Map

Fax (262) 303-5057

Other practice locations

  • 590 S Wakara Way, Salt Lake City, UT 84108-1200 · (801) 587-5400

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X125066593 (IL)
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X11729390-1205 (UT)
Orthopaedic Surgery Physician Primary 207X00000X75716 (WI)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1053793208

Mick Kelly, MD's National Provider Identifier is 1053793208, issued on Jun 24, 2015. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Pewaukee, WI. The record was last updated on Dec 14, 2021.