Individual
KELLY F CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4852 E BASELINE RD, STE C107, MESA, AZ 85206-4627
(480) 834-7000
(480) 834-7002
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3288
AZ
Other
Enumeration date
03/21/2007
Last updated
10/28/2014
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