IndividualActive
John Kelly, MD
NPI 1629530712 · Otolaryngology/Facial Plastic Surgery Physician · Green Valley, AZ
Provider details
- NPI number
- 1629530712
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25987 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
579 W Moorwood St
Green Valley, AZ 85614-5980
Phone: (414) 737-9122
Approximate (ZIP-level) locationGet directions
Mailing address
579 W Moorwood St
Green Valley, AZ 85614-5980
Registry dates
- Enumerated
- 2019-04-05
- Last updated
- 2019-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.