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

Lawrence J Kelly, MD

Individual provider Orthopaedic Surgery Physician · NPI 1124014758

Lawrence J Kelly, MD is an Orthopedic Surgery in Surprise, Arizona. Graduated from University of Nevada School of Medicine in 1990, 36 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
36
Trained at
University of Nevada School of Medicine
Licensed in
AZ
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021
Phone: (623) 584-5626
Fax: (623) 584-8998
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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 27172 (AZ)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 35083 (AZ)

Record details

NPI number1124014758
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESJune 6, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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