Individual provider · Type 1 NPI

Douglas Wayne Kelly, MD

Sports Medicine (Orthopaedic Surgery) Physician · Phoenix, AZ

NPI number 1104924158 Active

Practice location

5501 N 19th Ave, 432
Phoenix, AZ 85015-2450

Fax (602) 242-7265

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	12896 (AZ)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1104924158

Douglas Wayne Kelly, MD's National Provider Identifier is 1104924158, issued on Sep 20, 2006. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.