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Mick Kelly, MD
Orthopedic Surgery Physician in Pewaukee, Wisconsin
NPI 1053793208

Mick Kelly is a Orthopedic Surgery Physician based in Pewaukee, WI. Mick Kelly practices in Pewaukee, WI and has the professional credentials of MD. The NPI Number for Mick Kelly is 1053793208 and holds a License No. 125066593 (Wisconsin).

The current practice location address for Mick Kelly is N15W28300 Golf Rd, Pewaukee, WI and can be reached out via phone at 262-303-5055 and via fax at 262-303-5057.

Location: N15W28300 Golf Rd, Pewaukee, WI, 53072-4800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053793208
Provider Name
Mick Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
N15W28300 Golf Rd, Pewaukee, WI, 53072-4800
Phone Number
262-303-5055
Fax Number
262-303-5057
Provider Enumeration Date
06/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
N15W28300 Golf Rd
City
Pewaukee
State
Wisconsin
Zip
53072-4800
Phone Number
262-303-5055
Fax Number
262-303-5057
person
Provider Business Mailing Address Details
Address
N15W28300 Golf Rd
City
Pewaukee
State
Wisconsin
Zip
53072-4800
Phone Number
262-303-5055
Fax Number
262-303-5057
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
11729390-1205 (Utah)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Adult Reconstructive Orthopedic Surgery
Taxonomy
207XS0114X
License No.
125066593 (Illinois)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, adult reconstructive orthopedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
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