Kelm, Courtney G

Kelm, Courtney G is an individual health care provider with primary practice located at 725 S Dobson Rd Ste 100, Chandler AZ 85224-5680. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kelm, Courtney G can be contacted via phone (602) 795-8700.

Contact Information

Primary practice address
725 S Dobson Rd Ste 100 Chandler AZ 85224-5680
Fax: (602) 795-8701
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2515 Arizona

Profile Details

NPI number 1619948064
LBN Legal business name Kelm, Courtney G
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Dec 16th, 2015 - about 10 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 1619948064 NPPES
Arizona MEDICAID 623307

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