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JOHN KELLY JR. DO
NPI 1902824295
Specialist in Southfield, MI

Active since July 17, 2006
24500 NORTHWESTERN HWY, SOUTHFIELD, MI 48075(248) 353-1280(248) 353-6193 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Kelly Jr. Do NPPES

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

JOHN KELLY JR. DO (NPI 1902824295) is an individual specialist in Southfield, Michigan, licensed in Michigan (5101006257) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1902824295
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJOHN KELLY JR.Credential: DO
Location Address24500 NORTHWESTERN HWYSouthfield, MI 48075-2414
Mailing Address24500 Northwestern HwySouthfield, MI 48075-2414 · (248) 353-1280 · Fax (248) 353-6193
Phone(248) 353-1280
Fax(248) 353-6193
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateAugust 20, 2007
✔ NPI 1902824295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 5101006257
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
24500 NORTHWESTERN HWY, Southfield, MI 48075
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Other Identifiers 2

Medicaid1205209MI
Medicare UPINE31647

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLE ROSELAND DO
Radiology (Nuclear Radiology)
24500 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 353-1280
JERRY GLOWNIAK MD
Specialist
24500 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 353-1280
CARMEN ENDRESS MD
Specialist
24500 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 353-1280
TAO LI MD
Specialist
24500 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 353-1280
DENISE GRAY MD
Specialist
24500 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 353-1280
ALVARO MAGALHAES MD
Specialist
24500 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 353-1280
THOMAS MATTHYS MD
Specialist
24500 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 353-1280
YOGESH MODY MD
Radiology (Diagnostic Radiology)
24500 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 353-1280

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 1902824295. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is John Kelly located?

John Kelly practices at 24500 Northwestern Hwy, Southfield, MI 48075. The listed phone number is (248) 353-1280.

What is John Kelly's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for John Kelly was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.