Individual
KELLEY HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4530 E MUIRWOOD DR STE 111, PHOENIX, AZ 85048-7693
(480) 961-2365
(480) 961-2382
Mailing address
4530 E MUIRWOOD DR STE 111, PHOENIX, AZ 85048-7693
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6461
AZ
Other
Enumeration date
10/16/2023
Last updated
09/03/2025
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