Individual
KELVIN BENALLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9000 E CHAPARRAL RD, SCOTTSDALE, AZ 85256-2626
(480) 423-6000
Mailing address
PO BOX 1468, SHIPROCK, NM 87420-1468
(505) 947-8464
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2024
Last updated
04/28/2026
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