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:
Health care specialties
| Specialty | Code | License # | 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 5 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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