IndividualActive
Brian Kelly, MD
NPI 1053637736 · Pediatric Sports Medicine Physician · Phoenix, AZ
Provider details
- NPI number
- 1053637736
- Entity type
- Individual
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 50745 (AZ)
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-3033
Fax: (602) 933-5245
Mailing address
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Registry dates
- Enumerated
- 2010-04-20
- Last updated
- 2023-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.