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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELVIN BENALLY JR.

Active

KELVIN BENALLY JR. is a Athletic Trainer healthcare provider located in MARICOPA, Arizona. NPI 1114783271 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MARICOPA, AZ

Registration Details

NPI Number
1114783271
Provider Type
Individual
Gender
Male
NPI Issued
Feb 26, 2024 (2.453108592131 yrs)
Last Updated
Jul 29, 2024

Practice Information

Address
45012 W HONEYCUTT AVE
MARICOPA, AZ, 851392842
Browse AZ providers · Browse ZIP 85139
Phone
5205688100
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.