Kirt Lee Edly, PA
NPI #1053575746 in Rancho Mirage, California
Provider Information
- NPI Number
- 1053575746
- Entity Type
- Individual
- Name
- Kirt Lee Edly, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Jul 11, 2008
- Last Updated
- Apr 5, 2023
Practice Location
- Address
- 39000 BOB HOPE DR, HARRY & DIANE RINKER BUILDING
- City
- Rancho Mirage
- State
- California
- ZIP Code
- 92270-3221
- Phone
- (760) 568-2684
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
| Physician Assistant - Medical — Medical |
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