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DR. DAMIEN KELLY MB BCH BAO
NPI 1285496620
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since January 30, 2024
5777 E MAYO BLVD, PHOENIX, AZ 85054(480) 515-6296 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Damien Kelly Mb Bch Bao NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAMIEN KELLY MB BCH BAO (NPI 1285496620) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1285496620
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DAMIEN KELLYCredential: MB BCH BAO
Location Address5777 E MAYO BLVDPhoenix, AZ 85054-4502
Mailing Address17950 N 68th St Apt 2065Phoenix, AZ 85054-4192 · (845) 480-2482
Phone(480) 515-6296
Sole ProprietorNo
Enumeration DateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1285496620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5777 E MAYO BLVD, Phoenix, AZ 85054
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEAGAN ELIZABETH TIBBO M.D.
Orthopaedic Surgery
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 515-6296
MISS AMY LETICIA BROWN PA-C
Physician Assistant
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
KRISTINA YANCEY
Radiology (Diagnostic Radiology)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 342-2000
KATHERINE ANNE LESPRON LMSW
Social Worker
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 342-4005
KASSANDRA HYDE APRN
Clinical Nurse Specialist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 342-3962
DIANA M BUI M.D.
Emergency Medicine
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
JENNIFER S PALERMO P.A.
Physician Assistant
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
ALICIA CHEN M.D.
Radiology (Diagnostic Radiology)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Damien Kelly's NPI number?

The NPI number for Damien Kelly is 1285496620. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Damien Kelly located?

Damien Kelly practices at 5777 E Mayo Blvd, Phoenix, AZ 85054. The listed phone number is (480) 515-6296.

What is Damien Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Damien Kelly was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.