Individual provider · Type 1 NPI

Damien Kelly, MB BCH BAO

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

NPI number 1285496620 Active

Practice location

5777 E Mayo Blvd
Phoenix, AZ 85054-4502

Call (480) 515-6296 Map

Mailing address

17950 N 68th St Apt 2065
Phoenix, AZ 85054-4192

Specialties and licenses

TaxonomyCodeLicense
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 1285496620

Damien Kelly, MB BCH BAO's National Provider Identifier is 1285496620, issued on Jan 30, 2024. 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 Jan 30, 2024.