Organization
KELLY MILTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY MILTON M.D. (NEUROLOGIST)
(646) 752-1304
Entity
Organization
Contact information
Practice address
6677 W THUNDERBIRD RD, BUILDING D, GLENDALE, AZ 85306
(602) 843-3811
Mailing address
6677 W THUNDERBIRD RD, BUILDING D, GLENDALE, AZ 85306-3709
(602) 843-3811
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
48574
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
921314
—
AZ
Enumeration date
04/09/2017
Last updated
08/26/2018
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