Individual
KELLY LIME BRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14155 N 83RD AVE STE 122, PEORIA, AZ 85381-5640
(623) 773-1161
Mailing address
13014 N 23RD ST, PHOENIX, AZ 85022-5124
(623) 703-2339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2701
AZ
Other
Enumeration date
07/10/2006
Last updated
04/25/2026
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