Benedict, Kelly Ann

Benedict, Kelly Ann is an individual health care provider with primary practice located at 3333 E Camelback Rd Ste 180, Phoenix AZ 85018-2322. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Benedict, Kelly Ann can be contacted via phone (602) 997-0484.

Contact Information

Primary practice address
3333 E Camelback Rd Ste 180 Phoenix AZ 85018-2322
Phone: (602) 997-0484
Fax: (602) 224-3315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 49162 Arizona

Profile Details

NPI number 1144429747
LBN Legal business name Benedict, Kelly Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Mar 1st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144429747 NPPES
Arizona MEDICAID 921982

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