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Individual

KALAN ANN KELCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AG-ACNP

Contact information

Practice address
14445 W MCDOWELL RD STE A104, GOODYEAR, AZ 85395-2518
(480) 561-5000
(480) 984-4066
Mailing address
14445 W MCDOWELL RD STE A104, GOODYEAR, AZ 85395-2518
(480) 561-5000
(480) 984-4066

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
221426
AZ
363LG0600X
Gerontology Nurse Practitioner
221426
AZ

Other

Enumeration date
03/09/2015
Last updated
01/08/2024
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