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
ZIP Code
92270-3221
Phone
(760) 568-2684

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical
Physician Assistant - MedicalMedical

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