Individual
PATRICK L KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
150 S 12TH ST, PHOENIX, AZ 85034-2301
(602) 495-5797
Mailing address
150 S 12TH ST, PHOENIX, AZ 85034-2301
(602) 495-5797
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1207
AZ
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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