Provider Demographics
NPI:1033306154
Name:HSU, KELLY (MD)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:
Last Name:HSU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:655 S DOBSON RD
Mailing Address - Street 2:BLDG A - SUITE 205
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5667
Mailing Address - Country:US
Mailing Address - Phone:480-899-9400
Mailing Address - Fax:480-899-2994
Practice Address - Street 1:655 S DOBSON RD
Practice Address - Street 2:BLDG A - SUITE 205
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5667
Practice Address - Country:US
Practice Address - Phone:480-899-9400
Practice Address - Fax:480-899-2994
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ0057171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist