Individual
MS. KELLI MICHELE FABELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
5201 N 19TH AVE STE 121, PHOENIX, AZ 85015-2901
(602) 433-1822
Mailing address
6539 N 175TH LN, WADDELL, AZ 85355-9477
(480) 270-2111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4504
AZ
Other
Enumeration date
10/28/2009
Last updated
03/20/2024
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