Individual provider · Type 1 NPI

Michael Kelly, DO

Sports Medicine (Internal Medicine) Physician · West Orange, NJ

NPI number 1265583884 Active

Practice location

622 Eagle Rock Ave, Suite 305
West Orange, NJ 07052

Fax (973) 736-1937

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Internal Medicine) Physician Primary 207RS0010X25MB07620900 (NJ)

Sports Medicine (Internal Medicine) Physician: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psycho…

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About NPI 1265583884

Michael Kelly, DO's National Provider Identifier is 1265583884, issued on Jan 12, 2007. The primary taxonomy on file is Sports Medicine (Internal Medicine) Physician (207RS0010X), and the practice location is in West Orange, NJ. The record was last updated on Mar 16, 2026.