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Individual

KELLIE OBRIEN PIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1601 W SAINT MARYS RD, TUCSON, AZ 85745-2682
(520) 872-3000
Mailing address
350 N WILMOT RD, TUCSON, AZ 85711-2678
(520) 873-3000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1154865
TX
363LF0000X
Family Nurse Practitioner
Primary
267353
AZ

Other

Enumeration date
12/02/2021
Last updated
08/08/2024
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