# KELLY E PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922802891
- **Authorized official:** KELLY EDWARDS PMHNP-BC (OWNER)
- **Authorized official phone:** (520) 650-5886

## Contact information

- **Practice address:** 16825 S DESERT FOOTHILLS PKWY \# 93143, PHOENIX, AZ 85048-8460
- **Practice address phone:** (520) 650-5886
- **Mailing address:** 16825 S DESERT FOOTHILLS PKWY \# 93143, PHOENIX, AZ 85048-8460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2025
- **Last updated:** 04/01/2025