Individual
KAILEY R KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3000
(480) 728-4747
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11343
AZ
363A00000X
Physician Assistant
PA214290
OR
363AS0400X
Surgical Physician Assistant
Primary
11343
AZ
Other
Enumeration date
11/08/2022
Last updated
11/05/2025
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