Individual
PAMELA K KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1300 N 12TH ST, SUITE 520, PHOENIX, AZ 85006-2848
(602) 495-4863
(602) 528-3120
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1608
AZ
Other
Enumeration date
04/26/2006
Last updated
06/22/2016
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