Individual
KELLY F PAGELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1920 E CAMBRIDGE AVE, PHOENIX, AZ 85006-1459
(602) 933-3277
(602) 933-4326
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4615
AZ
363AS0400X
Surgical Physician Assistant
Primary
4615
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514087
—
AZ
Enumeration date
04/15/2010
Last updated
08/10/2023
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