Provider Demographics
NPI:1538681762
Name:DARBY, KELSEY LYNN (OD)
Entity Type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:LYNN
Last Name:DARBY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8632 E EDGEMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-1816
Mailing Address - Country:US
Mailing Address - Phone:563-299-7967
Mailing Address - Fax:
Practice Address - Street 1:7014 E CAMELBACK RD STE 2000
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-1239
Practice Address - Country:US
Practice Address - Phone:480-945-9971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-10
Last Update Date:2023-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2183152W00000X
AZ002183152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist