Kelly Marie Parker PA-C

NPI 1093795064 - Physician Assistant - 363A00000X

NPI Details
NPI 1093795064
Gender Female
Enumeration Date 01/18/2006
Last Updated 04/14/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1920 E. CAMBRIDGE AVE
# 302
PHOENIX AZ, 85006, US
Phone (602) 279-1697
Fax (602) 264-0461
Business Location
1920 E. CAMBRIDGE AVE
# 302
PHOENIX AZ, 85006, US
Phone (602) 279-1697
Fax (602) 264-0461
Toxanomy
Taxonomy Code 363A00000X
License State Arizona
License Number 1882
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According to our database, Kelly Marie Parker PA-C NPI is 1093795064, taxonomy code is 363A00000X and license number is 1882, license state is located at Arizona. Kelly Marie Parker PA-C physically located at 1920 E. Cambridge Ave, Phoenix AZ, 85006. NPI Number Kelly Marie Parker PA-C has the Individual type.

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1093795064 NPI number is provided on an as is basis without warranty of any kind. 1093795064 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Marie Parker PA-C are for informational purposes only.