Individual
DR. JUDITH AMANDA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 N SAN FRANCISCO ST, STE 100, FLAGSTAFF, AZ 86001-3281
(928) 214-2156
Mailing address
2886 W NORIA ST, FLAGSTAFF, AZ 86001-0940
(928) 607-3864
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30354
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
708274
—
AZ
Enumeration date
08/05/2006
Last updated
01/11/2018
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