Organization
PREMIER EAR, NOSE AND THROAT SURGEONS, LTD
Active
Other names
Valley Ear, Nose and Throat Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN EDWARD KELLY M.D. (PRESIDENT)
(602) 678-5001
Entity
Organization
Contact information
Practice address
9250 N 3RD ST, STE. 3025, PHOENIX, AZ 85020-2412
(602) 678-5001
(602) 678-4787
Mailing address
9250 N 3RD ST, STE. 3025, PHOENIX, AZ 85020-2412
(602) 678-5001
(602) 678-4787
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364935
—
AZ
05
—
755879
—
AZ
Enumeration date
04/24/2007
Last updated
07/30/2010
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