Individual
PAUL J KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9327 N 3RD STREET, SUITE 100, PHOENIX, AZ 85020-2471
(602) 371-3100
(602) 371-0050
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(602) 214-6148
(602) 214-6149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14810
AZ
Other
Enumeration date
05/11/2006
Last updated
09/25/2013
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