Individual
GRACE CATHERINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R81013
AZ
Other
Enumeration date
04/29/2024
Last updated
04/21/2025
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