Individual
MRS. MELANIE MERCEDES KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1455 W CHANDLER BLVD, BUILDING A, CHANDLER, AZ 85224-6177
(480) 899-2900
(480) 899-0681
Mailing address
1633 W MANOR ST, CHANDLER, AZ 85224-5104
(480) 855-8467
(480) 855-8471
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2366
AZ
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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