KELLY JO LEWIS

KINGMAN, AZ
NPI1104389451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: AZ  307837)
Enumeration Date2019-04-12
Last Update Date2024-09-03
Business Address
KELLY JO LEWIS Nurse Practitioner
1510 N STOCKTON HILL RD
KINGMAN, AZ 86401-5173
Phone number: 928-753-1177
Mailing Address
KELLY JO LEWIS Nurse Practitioner
PO BOX 3630
FLAGSTAFF, AZ 86003-3630
Phone number: 928-522-9879
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