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Michael Timothy Kelley, MSPA-C
Surgical Physician Assistant in Tempe, Arizona
NPI 1073571816

Michael Timothy Kelley is a Surgical Physician Assistant based in Phoenix, AZ and is specialized in Surgical. Michael Timothy Kelley practices in Tempe, AZ and has the professional credentials of MSPA-C. The NPI Number for Michael Timothy Kelley is 1073571816 and holds a License No. (Arizona).

The current practice location address for Michael Timothy Kelley is 6625 S Rural Rd Ste 104, Tempe, AZ and can be reached out via phone at 480-833-4515 and via fax at 480-833-5078. You can also correspond with Michael Timothy Kelley through the mailing address at 2532 E MERCER LN, PHOENIX, AZ - 85028-2530 (mailing address contact number: 602-799-3181).

Location: 6625 S Rural Rd Ste 104, Tempe, AZ, 85028-2530
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Provider Profile Details
NPI Number
1073571816
Provider Name
Michael Timothy Kelley
Credential
MSPA-C
Provider Entity Type
Individual
Gender
Male
Address
6625 S Rural Rd Ste 104, Tempe, AZ, 85028-2530
Phone Number
480-833-4515
Fax Number
480-833-5078
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AZ3829 01 AZ ARIZONA STATE LICENSE NUMBER
585950 05 AZ
institution
Provider Business Practice Location Address Details
Address
6625 S Rural Rd Ste 104
City
State
Zip
85283-3717
Phone Number
480-833-4515
Fax Number
480-833-5078
person
Provider Business Mailing Address Details
Address
6625 S Rural Rd Ste 104
City
State
Zip
85283-3717
Phone Number
480-833-4515
Fax Number
480-833-5078
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
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Definition
Definition to come...
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