John J Kelly, MD is a
Otolaryngology - Otolaryngology/facial Plastic Surgery physician based in Green Valley, Arizona. John J Kelly is licensed to practice in Arizona (license number 25987) and his current practice location is 579 W Moorwood St, Green Valley, Arizona. He can be reached at his office (for appointments etc.) via phone at
(414) 737-9122.
NPI number for John J Kelly is 1629530712 and his current mailing address is 579 W Moorwood St, Green Valley, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629530712.
Physician's Profile
Full Name | John J Kelly |
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Gender | Male |
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Speciality | Otolaryngology - Otolaryngology/facial Plastic Surgery |
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Location | 579 W Moorwood St, Green Valley, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629530712
- Provider Enumeration Date: 04/05/2019
- Last Update Date: 04/05/2019
Medical Identifiers
Medical identifiers for John J Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629530712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YX0602X | Otolaryngology - Otolaryngic Allergy | 25987 (Arizona) | Secondary |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 25987 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John J Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
John J Kelly, MD 579 W Moorwood St, Green Valley, AZ 85614-5980 Ph: (414) 737-9122 | John J Kelly, MD 579 W Moorwood St, Green Valley, AZ 85614-5980 Ph: (414) 737-9122 |
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