Individual
DR. KELLY H ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1008 E MCDOWELL RD, PHOENIX, AZ 85006-2603
(602) 358-8588
(602) 688-6991
Mailing address
7330 N 16TH ST STE B101, PHOENIX, AZ 85020-5274
(602) 358-8588
(602) 688-6991
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
28111
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519556
—
AZ
01
—
7976320
AETNA
AZ
01
—
AZ0756830
BLUE CROSS BLUE SHIELD
AZ
01
—
Z82292
MEDICARE ID - UNSPECIFIED
AZ
Enumeration date
08/17/2005
Last updated
12/18/2023
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