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General NPI Number Information
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NPI Number | 1508853128
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Entity Type | Individual
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Provider Name | PATRICK S KELLEY MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 10701 W BELL RD
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City | SUN CITY
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State | AZ
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Zip | 85351-1074
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Country | US
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Telephone | 623-888-8191
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Fax | 623-977-6911
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Provider Business Mailing Address
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Address Line | PO BOX 201764
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City | DALLAS
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State | TX
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Zip | 75320-1764
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Country | US
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Telephone | 636-200-4393
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Fax | 480-558-7162
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 75952
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD61123922
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | C160209
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License Number State | CA
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