JOHN J KELLY MD
NPI 1629530712
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Green Valley, AZ

Q: What is John Kelly's NPI number?

The NPI number for John Kelly is 1629530712. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Q: What is John Kelly's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Q: When was this NPI record last updated?

The NPPES record for John Kelly was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 05, 2019

579 W MOORWOOD ST, GREEN VALLEY, AZ 85614(414) 737-9122 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John J Kelly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN J KELLY MD (NPI 1629530712) is an individual otolaryngology/facial plastic surgery provider in Green Valley, Arizona, licensed in Arizona (25987) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1629530712

Entity TypeIndividualMale

Primary Taxonomy207YX0905X

Provider Legal NameJOHN J KELLYCredential: MD

Location Address579 W MOORWOOD STGreen Valley, AZ 85614-5980

Mailing Address579 W Moorwood StGreen Valley, AZ 85614-5980 · (414) 737-9122

Phone(414) 737-9122

Sole ProprietorYes

Enumeration DateApril 5, 2019

✔ NPI 1629530712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YX0905X

License✔ Licensed in AZ · 25987

Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License 25987 (AZ)

579 W MOORWOOD ST, Green Valley, AZ 85614

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Kelly's NPI number?

The NPI number for John Kelly is 1629530712. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is John Kelly located?

John Kelly practices at 579 W Moorwood St, Green Valley, AZ 85614. The listed phone number is (414) 737-9122.

What is John Kelly's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

When was this NPI record last updated?

The NPPES record for John Kelly was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.