OrganizationActive
Lawrence Kelly, MD PC
NPI 1457792962 · Sports Medicine (Orthopaedic Surgery) Physician · Surprise, AZ
Provider details
- NPI number
- 1457792962
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Lawrence Kelly, Physician
- License
- 35083 (AZ)
Practice location
12361 W Bola Dr
Surprise, AZ 85378-9021
Phone: (623) 853-4812
Fax: (623) 584-8998
Mailing address
Po Box 1149
Peoria, AZ 85380-1149
Registry dates
- Enumerated
- 2013-07-12
- Last updated
- 2013-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.