Douglas Wayne Kelly in Phoenix - Sports Medicine
Douglas Wayne Kelly - NPI 1104924158
Douglas Wayne Kelly is a Sports Medicine in Phoenix, Arizona. Douglas Wayne Kelly practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Douglas Wayne Kelly is 1104924158. The last update date is 2007-07-08.
Douglas Wayne Kelly's current location address is 5501 N 19th Ave, Phoenix, Arizona. You can contact this provider via phone number 6022427691 and fax number 6022427265. The mailing address for Douglas Wayne Kelly is 5501 N 19th Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Wayne Kelly |
|---|---|
| Address | 5501 N 19th Ave, Phoenix, Arizona |
| Phone Number | 6022427691 |
| Fax Number | 6022427265 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104924158 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5501 N 19th Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850152450 |
| Phone Number | 6022427691 |
| Fax Number | 6022427265 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 12896 |
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Definition: 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, train |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Douglas Wayne Kelly by the Centers for Medicare & Medicaid Services?
The Douglas Wayne Kelly has been assigned the NPI (National Provider Identifier) 1104924158 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Douglas Wayne Kelly is physically located?
The Douglas Wayne Kelly is physically situated at the following address: 5501 N 19Th Ave, Phoenix, AZ, 850152450.
What is Douglas Wayne Kelly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Douglas Wayne Kelly is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Xx0005X.
On what date did the Douglas Wayne Kelly receive the assignment of its 1104924158 from the Centers for Medicare & Medicaid Services?
The Douglas Wayne Kelly was issued its 1104924158 by the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date was the information pertaining to Douglas Wayne Kelly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Douglas Wayne Kelly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.