Individual
MS. KELLIE M EARLE P.A.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4135 SO. POWER RD, SUITE 129, MESA, AZ 85212
(480) 751-3091
(480) 751-3095
Mailing address
1156 SO FERN CT, GILBERT, AZ 85296
(480) 751-3091
(480) 751-3095
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
010832
NY
363AM0700X
Medical Physician Assistant
Primary
3636
AZ
Other
Enumeration date
07/23/2007
Last updated
04/14/2016
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