Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas W Kelly MD PC

Organization Orthopaedic Surgery Physician · NPI 1205171402

Douglas W Kelly MD PC is an Orthopaedic Surgery Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5501 N 19th Ave Ste 432
Phoenix, AZ 85015-2450
Phone: (602) 242-7691
Fax: (602) 242-7265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 12896 (AZ)

Record details

NPI number1205171402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Kelly — President · (602) 242-7691
NPI enumeratedNovember 29, 2012
Last updated in NPPESNovember 29, 2012
Mailing address5501 N 19th Ave, Suite 432, Phoenix, AZ 85015-2450

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