Individual
DIANE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2874
(520) 324-5461
(520) 324-2051
Mailing address
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C', LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
77119
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2019
Last updated
06/09/2025
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