KELLY ELIZABETH HAMM PA-S2
NPI 1710860853
Student in an Organized Health Care Education/Training Program in Goodyear, AZ

Active since July 28, 2025
14455 W VAN BUREN ST, GOODYEAR, AZ 85338(623) 518-2386 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Elizabeth Hamm Pa-s2 NPPES

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

KELLY ELIZABETH HAMM PA-S2 (NPI 1710860853) is an individual student in an organized health care education/training program in Goodyear, Arizona and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1710860853
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY ELIZABETH HAMMCredential: PA-S2
Location Address14455 W VAN BUREN STGoodyear, AZ 85338-9209
Mailing Address46 Forest Hill AveLynnfield, MA 01940-1759 · (781) 733-0250
Sole ProprietorNo
Enumeration DateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
NPI 1710860853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
14455 W VAN BUREN ST, Goodyear, AZ 85338

Other Providers at the Same Location NPPES 3

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

Student in an Organized Health Care Education/Training Program
14455 W VAN BUREN ST
GOODYEAR, AZ 85338
Physician Assistant
14455 W VAN BUREN ST
GOODYEAR, AZ 85338
Student in an Organized Health Care Education/Training Program
14455 W VAN BUREN ST
GOODYEAR, AZ 85338

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 Kelly Hamm's NPI number?

The NPI number for Kelly Hamm is 1710860853. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Kelly Hamm located?

Kelly Hamm practices at 14455 W Van Buren St, Goodyear, AZ 85338. The listed phone number is (623) 518-2386.

What is Kelly Hamm'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 Kelly Hamm was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.