Individual provider · Type 1 NPI

Kelly Lee Tracey, DO

General Practice Physician · Prescott, AZ

NPI number 1255441143 Active

Practice location

3124 Willow Creek Rd
Prescott, AZ 86301-6610

Fax (928) 433-0730

Mailing address

81 W Guadalupe Rd Ste 111
Gilbert, AZ 85233-3321

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X3595 (AZ)
General Practice Physician Primary 208D00000X20A11995 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1255441143

Kelly Lee Tracey, DO's National Provider Identifier is 1255441143, issued on Aug 30, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Prescott, AZ. The record was last updated on Apr 16, 2025.