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1730316886
COLAN ASHLEY KENNELLY
PHOENIX, AZ
NPI
1730316886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ R71518)
Enumeration Date
2009-06-16
Last Update Date
2009-06-16
Business Address
-- COLAN ASHLEY KENNELLY MD
1300 N 12TH ST #605
PHOENIX, AZ 85006-2848
Phone number: 602-239-4567
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Mailing Address
-- COLAN ASHLEY KENNELLY MD
1300 N 12TH ST #605
PHOENIX, AZ 85006-2848
Phone number:
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