Individual provider · Type 1 NPI

Mackenzie Kelly, MD

Adult Reconstructive Orthopaedic Surgery Physician · Portland, OR

NPI number 1942761580 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098

Call (503) 494-8211 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Reconstructive Orthopaedic Surgery Physician Primary 207XS0114XMD216103 (OR)

Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

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About NPI 1942761580

Mackenzie Kelly, MD's National Provider Identifier is 1942761580, issued on Mar 27, 2019. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Portland, OR. The record was last updated on Oct 15, 2026.