Kellett, Sandra Taylor

Kellett, Sandra Taylor is an individual health care provider with primary practice located at 1215 N Beaver St , Flagstaff AZ 86001-3120. 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. Kellett, Sandra Taylor can be contacted via phone (928) 773-2200.

Contact Information

Primary practice address
1215 N Beaver St Flagstaff AZ 86001-3120
Phone: (928) 773-2200
Fax: (928) 773-2300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6587 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102170 Florida

Profile Details

NPI number 1396860169
LBN Legal business name Kellett, Sandra Taylor
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Mar 18th, 2024 - about 9 months 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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