Individual
MRS. KELLY ANNE SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9819 N 95TH ST STE 105, SCOTTSDALE, AZ 85258-4588
(480) 874-2229
Mailing address
9819 N 95TH ST STE 105, SCOTTSDALE, AZ 85258-4588
(480) 874-2229
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
363A00000X
CA
363A00000X
Physician Assistant
Primary
7523
AZ
Other
Enumeration date
11/02/2017
Last updated
08/01/2023
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