Individual
KELSEY ELIZABETH SULLIVAN HOIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 521-5944
Mailing address
201 ABRAHAM FLEXNER WAY STE 1200, LOUISVILLE, KY 40202-3841
(502) 562-3000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
68834
AZ
2086S0102X
Surgical Critical Care Physician
68834
AZ
Other
Enumeration date
06/15/2016
Last updated
03/07/2024
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