MEDICARE: AMY KELLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW-23580	AZ
2	1041C0700X	Clinical Social Worker	P016996	NC

General Provider Information

NPI Number	:	1396614285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY KELLY

Provider Business Mailing Address
First Line	:	5363 N SABINO CANYON RD APT 12
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85750-7089
Country	:	US
Telephone Number	:	520-261-2034
Fax Number	:

Provider Business Practice Location Address
First Line	:	5363 N SABINO CANYON RD APT 12
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85750-7089
Country	:	US
Telephone Number	:	520-261-2034
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2025
Last Update Date	:	02/09/2026

Similar Medicare Providers

1396153086 — CARLY HEFT CSFA
Practice Location Address:

5363 N SABINO CANYON RD #11
TUCSON, AZ
85750-7089

Practice Phone: 214-227-2457
Practice Fax: 214-764-0880

1730521121 — NATALLIA BORISOVNA PHILLIPS MSN, FNP-C
Practice Location Address:

7089 N THORNYDALE RD STE 101
TUCSON, AZ
85741-2728

Practice Phone: 520-694-6600
Practice Fax:

1891209268 — SAMANTHA MARTINEZ
Practice Location Address:

7089 N THORNYDALE RD
TUCSON, AZ
85741-2728

Practice Phone: 520-694-6600
Practice Fax:

1154893790 — BANNER URGENT CARE SERVICES, LLC
Practice Location Address:

7089 N THORNYDALE RD STE 101
TUCSON, AZ
85741-2728

Practice Phone: 520-694-6600
Practice Fax:

1285585646 — NYLEA YASMIN RODRIGUEZ
Practice Location Address:

5755 E RIVER RD
TUCSON, AZ
85750-6701

Practice Phone: 520-704-2565
Practice Fax:

1982301859 — WILLIAM OHARA PHMHNP-BC
Practice Location Address:

4282 N QUAIL CANYON DR
TUCSON, AZ
85750-6917

Practice Phone: 520-612-0466
Practice Fax:

Directions to “ AMY KELLY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.