Individual provider · Type 1 NPI

Christina Debaun Kelly, MD

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1184010639 Active

Practice location

2601 E Roosevelt St
Phoenix, AZ 85008

Call (602) 344-5956 Map

Mailing address

8800 N Valley Oak Dr
Prescott, AZ 86305-7720

Other practice locations

  • 601 W 2nd St, Bloomington, IN 47403-2317 · (812) 676-4542

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X01080214A (IN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184010639

Christina Debaun Kelly, MD's National Provider Identifier is 1184010639, issued on Apr 11, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 8, 2018.