Individual
COLIN K KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4132 E MORRISON RANCH PKWY, GILBERT, AZ 85296-3093
(801) 560-9613
Mailing address
4132 E MORRISON RANCH PKWY, GILBERT, AZ 85296-3093
(801) 560-9613
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55007
AZ
Other
Enumeration date
01/04/2007
Last updated
03/12/2020
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