Individual
DEBBIE L KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU D
Contact information
Practice address
61 BELL ROCK PLZ, STE B, SEDONA, AZ 86351-8810
(928) 284-2116
(928) 496-2122
Mailing address
39506 N DAISY MOUNTAIN DR, SUITE 122-624, ANTHEM, AZ 85086-1663
(928) 284-2116
(928) 496-2122
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA1429
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013136753
INDIVIDUAL NPI
AZ
01
—
1528487014
GROUP NPI
AZ
01
—
Z164325
PTAN
AZ
Enumeration date
04/24/2007
Last updated
09/08/2015
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