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Lawrence J Kelly, MD
Sports Medicine (Orthopedic Surgery) Physician in Surprise, Arizona
NPI 1124014758

Lawrence J Kelly is a Sports Medicine (Orthopedic Surgery) Physician based in Surprise, AZ and is specialized in Sports Medicine. Lawrence J Kelly practices in Surprise, AZ and has the professional credentials of MD. The NPI Number for Lawrence J Kelly is 1124014758 and holds a License No. 27172 (Arizona).

The current practice location address for Lawrence J Kelly is 12361 W Bola Dr, Surprise, AZ and can be reached out via phone at 623-584-5626 and via fax at 623-584-8998.

Location: 12361 W Bola Dr, Surprise, AZ, 85378-9021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124014758
Provider Name
Lawrence J Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12361 W Bola Dr, Surprise, AZ, 85378-9021
Phone Number
623-584-5626
Fax Number
623-584-8998
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5920416 01 AZ AETNA
P00188666 01 AZ RAILROAD MEDICARE
2036792 01 AZ UNITED HEALTHCARE
2Z1651 01 AZ HEALTHNET
1124014758 01 AZ AHCCCS
P0836100 01 AZ BCBS OUT OF AREA
514829 05 AZ
institution
Provider Business Practice Location Address Details
Address
12361 W Bola Dr
City
Surprise
State
Arizona
Zip
85378-9021
Phone Number
623-584-5626
Fax Number
623-584-8998
person
Provider Business Mailing Address Details
Address
12361 W Bola Dr
City
Surprise
State
Arizona
Zip
85378-9021
Phone Number
623-584-5626
Fax Number
623-584-8998
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
35083 (Arizona)
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
Sports Medicine
Taxonomy
207XX0005X
License No.
27172 (Arizona)
Definition
An orthopedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
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