Provider Demographics
NPI:1013387406
Name:BELL, KEVIN (PA)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:BELL
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Gender:M
Credentials:PA
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Mailing Address - Street 1:6410 S KINGS RANCH RD STE 1
Mailing Address - Street 2:
Mailing Address - City:GOLD CANYON
Mailing Address - State:AZ
Mailing Address - Zip Code:85118-7352
Mailing Address - Country:US
Mailing Address - Phone:480-761-2500
Mailing Address - Fax:480-288-2879
Practice Address - Street 1:6410 S KINGS RANCH RD
Practice Address - Street 2:
Practice Address - City:GOLD CANYON
Practice Address - State:AZ
Practice Address - Zip Code:85118-7352
Practice Address - Country:US
Practice Address - Phone:480-981-3000
Practice Address - Fax:480-654-5761
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2024-03-28
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Provider Licenses
StateLicense IDTaxonomies
AZ6126363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical