Kellie Elkins

NPI #1124255815 in Pinetop, Arizona

Provider Information

NPI Number: 1124255815
Entity Type: Individual
Name: Kellie Elkins
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 19, 2009
Last Updated: Jun 19, 2009

Practice Location

Address: 3031 BUCK CROSSING WAY
City: Pinetop
State: Arizona
ZIP Code: 85935-8489
Phone: (928) 358-1570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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