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Individual

KELLY ANN KLAUBER

Active
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Individual

KELLY ANN KLAUBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4977
CO
363AM0700X
Medical Physician Assistant
4800
AZ
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-78377
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
856096
AZ
Enumeration date
02/18/2011
Last updated
01/26/2026
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