Individual provider · Type 1 NPI

Kelly Lime Brannan, PA

Physician Assistant · Peoria, AZ

NPI number 1366476004 Active

Practice location

14155 N 83rd Ave Ste 122
Peoria, AZ 85381-5640

Call (623) 773-1161 Map

Mailing address

13014 N 23rd St
Phoenix, AZ 85022-5124

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2701 (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 1366476004

Kelly Lime Brannan, PA's National Provider Identifier is 1366476004, issued on Jul 10, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Peoria, AZ. The record was last updated on Apr 25, 2026.