Individual provider · Type 1 NPI

Kirt Lee Edly, PA

Medical Physician Assistant · Rancho Mirage, CA

NPI number 1053575746 Active

Practice location

39000 Bob Hope Dr, Harry & Diane Rinker Building
Rancho Mirage, CA 92270-3221

Fax (760) 341-5832

Mailing address

PO Box 1730
Rancho Mirage, CA 92270-1058

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA21381 (CA)
Medical Physician Assistant Primary 363AM0700XPA21381 (CA)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1053575746

Kirt Lee Edly, PA's National Provider Identifier is 1053575746, issued on Jul 11, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rancho Mirage, CA. The record was last updated on Apr 5, 2023.