Kelly, Corie S

Kelly, Corie S is an individual health care provider with primary practice located at 525 S Watson Rd Ste 200 , Buckeye AZ 85326-3451. 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. Kelly, Corie S can be contacted via phone (602) 726-8750.

Contact Information

Primary practice address
525 S Watson Rd Ste 200 Buckeye AZ 85326-3451
Phone: (602) 726-8750
Fax: (236) 474-5811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3503 Arizona

Profile Details

NPI number 1598885170
LBN Legal business name Kelly, Corie S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Mar 24th, 2020 - about 6 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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