| NPI | 1912731712 |
|---|---|
| Doing Business As | LEGACY WELLNESS PLLC |
| Entity Type | Organization |
| Authorized Contact | KRISTIN KELLY Provider 623-792-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |