Healthcare Provider Details

I. General information

NPI: 1568398774
Provider Name (Legal Business Name): DR. JAMES KELBERT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N CAMPBELL AVE
TUCSON AZ
85724-5140
US

IV. Provider business mailing address

1501 N CAMPBELL AVE
TUCSON AZ
85724-5140
US

V. Phone/Fax

Practice location:
  • Phone: 800-841-5948
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberTT-26-21
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: