Mcelroy, Kelly Rae

Mcelroy, Kelly Rae is an individual health care provider with primary practice located at 5859 W Talavi Blvd Suite 100, Glendale AZ 85306-1869. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mcelroy, Kelly Rae can be contacted via phone (602) 298-7777.

Contact Information

Primary practice address
5859 W Talavi Blvd Suite 100 Glendale AZ 85306-1869
Phone: (602) 298-7777
Fax: (623) 930-6060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN127856 Arizona

Profile Details

NPI number 1922000686
LBN Legal business name Mcelroy, Kelly Rae
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Apr 20th, 2017 - about 7 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 1922000686 NPPES
Arizona MEDICAID 967903

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