Individual
KELSEY JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1489 S HIGLEY RD, 101, GILBERT, AZ 85296
(480) 457-8800
(480) 457-8885
Mailing address
1489 S HIGLEY RD, 101, GILBERT, AZ 85296-4776
(480) 457-8800
(480) 457-8885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6460
AZ
363A00000X
Physician Assistant
6460
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206469
—
AZ
Enumeration date
10/10/2016
Last updated
05/30/2018
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