Kelly, Mick

Kelly, Mick is an individual health care provider with primary practice located at N15W28300 Golf Rd , Pewaukee WI 53072-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kelly, Mick can be contacted via phone (262) 303-5055.

Contact Information

Primary practice address
N15W28300 Golf Rd Pewaukee WI 53072-4800
Phone: (262) 303-5055
Fax: (262) 303-5057
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 125066593 Illinois
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 11729390-1205 Utah
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 75716 Wisconsin

Profile Details

NPI number 1053793208
LBN Legal business name Kelly, Mick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2015
Last updated Dec 14th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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