Individual provider · Type 1 NPI

Kelly Marie Miller, PA-C

Physician Assistant · Chandler, AZ

NPI number 1215631130 Active

Practice location

525 S Chandler Village Dr
Chandler, AZ 85226-5069

Fax (602) 772-3801

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X9708 (AZ)
Physician Assistant Primary 363A00000X9708 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1215631130

Kelly Marie Miller, PA-C's National Provider Identifier is 1215631130, issued on Mar 27, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chandler, AZ. The record was last updated on Oct 15, 2026.