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Individual

COURTNEY G KELM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
725 S DOBSON RD, STE 100, CHANDLER, AZ 85224-5680
(602) 795-8700
(602) 795-8701
Mailing address
20280 N 59TH AVE, STE 115-617, GLENDALE, AZ 85308-6850
(602) 795-8700
(602) 795-8701

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2515
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
623307
AZ
Enumeration date
02/01/2006
Last updated
12/16/2015
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