Individual
AUDREY CHRISTINE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4119 LAUREL ST, ANCHORAGE, AK 99508-5334
(877) 708-9752
(907) 802-6248
Mailing address
4119 LAUREL ST, ANCHORAGE, AK 99508-5334
(877) 708-9752
(907) 802-6248
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
113710
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1667427
—
AK
Enumeration date
03/19/2015
Last updated
12/15/2025
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