Individual
DR. CHRISTINA DEBAUN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008
(602) 344-5956
Mailing address
8800 N VALLEY OAK DR, PRESCOTT, AZ 86305-7720
(972) 310-9712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01080214A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2015
Last updated
06/08/2018
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