Kelley, Cathy

Kelley, Cathy is an individual health care provider with primary practice located at 2030 W Whispering Wind Dr , Phoenix AZ 85085-2853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kelley, Cathy can be contacted via phone (602) 866-0550.

Contact Information

Primary practice address
2030 W Whispering Wind Dr Phoenix AZ 85085-2853
Phone: (602) 866-0550
Fax: (602) 993-5788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1133 Arizona

Profile Details

NPI number 1053303396
LBN Legal business name Kelley, Cathy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Aug 22nd, 2011 - about 15 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 1053303396 NPPES
Arizona MEDICAID 387391

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