Individual
DR. KELLY CLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.M.D.
Contact information
Practice address
4653 S LAKESHORE DR STE 1, TEMPE, AZ 85282-7161
(602) 730-6160
Mailing address
4653 S LAKESHORE DR STE 1, TEMPE, AZ 85282-7161
(602) 730-6160
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
13-1394
AZ
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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