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MS. KELLIE M EARLE P.A. PA
NPI 1891995296
Physician Assistant - Medical in Mesa, AZ

Active since July 23, 2007
4135 SO. POWER RD, SUITE 129, MESA, AZ 85212(480) 751-3091(480) 751-3095 Get Directions Write a Review

NPPES record last updated: April 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kellie M Earle P.a. Pa NPPES

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

MS. KELLIE M EARLE P.A. PA (NPI 1891995296) is an individual medical provider in Mesa, Arizona, licensed in Arizona (3636) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1891995296
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. KELLIE M EARLE P.A.Credential: PA
Location Address4135 SO. POWER RD, SUITE 129Mesa, AZ 85212
Mailing Address1156 So Fern CtGilbert, AZ 85296 · (480) 751-3091 · Fax (480) 751-3095
Phone(480) 751-3091
Fax(480) 751-3095
Sole ProprietorNo
Enumeration DateJuly 23, 2007
Last NPPES UpdateApril 14, 2016
✔ NPI 1891995296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in AZ · 3636✔ Licensed in NY · 010832
4135 SO. POWER RD, Mesa, AZ 85212
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Other Identifiers 1

Medicare UPINQ60219NY

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 Kellie Earle P.a.'s NPI number?

The NPI number for Kellie Earle P.a. is 1891995296. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Kellie Earle P.a. located?

Kellie Earle P.a. practices at 4135 So. Power Rd Suite 129, Mesa, AZ 85212. The listed phone number is (480) 751-3091.

What is Kellie Earle P.a.'s specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kellie Earle P.a. was last updated on April 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.