Individual
ANDREA NICOLE MCKELVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4365 E PECOS RD STE 134, GILBERT, AZ 85295-8053
(480) 840-9155
Mailing address
4365 E PECOS RD STE 134, GILBERT, AZ 85295-8053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4960
AZ
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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