Individual provider · Type 1 NPI

Jennifer Lynn Keathley, MMS, PA-C

Surgical Physician Assistant · Phoenix, AZ

NPI number 1073848248 Active

Practice location

1635 E Myrtle Ave, Ste 400
Phoenix, AZ 85020-5556

Fax (602) 944-0064

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X4511 (AZ)

Surgical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1073848248

Jennifer Lynn Keathley, MMS, PA-C's National Provider Identifier is 1073848248, issued on Oct 6, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Phoenix, AZ. The record was last updated on May 4, 2022.