Individual
DR. KELLY D. DESIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
15725 SOUTH 46TH ST, SUITE 112, PHOENIX, AZ 85048
(480) 893-2300
(480) 893-0522
Mailing address
14417 S 24TH PL, PHOENIX, AZ 85048-9015
(480) 759-0314
(480) 759-0863
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0862
AZ
152WV0400X
Vision Therapy Optometrist
Primary
0862
AZ
Other
Enumeration date
01/12/2007
Last updated
09/11/2025
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