Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY LEE TRACEY, D.O.
ActiveKELLY LEE TRACEY, D.O. is a General Practice healthcare provider located in PRESCOTT, Arizona. NPI 1255441143 is currently active in the NPPES registry. Verify at CMS.
General Practice · PRESCOTT, AZ
Registration Details
- NPI Number
- 1255441143
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2006 (19.933969518852 yrs)
- Last Updated
- Apr 16, 2025
- Licenses
-
3595 (AZ)20A11995 (CA)
Practice Information
- Address
-
3124 WILLOW CREEK RDPRESCOTT, AZ, 863016610Browse AZ providers · Browse ZIP 86301
- Phone
- 9234457085
- Fax
- 9284330730
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in PRESCOTT, AZ
| Name | Credential | NPI |
|---|---|---|
| JOHN JOSEPH OCONNOR | MD | 1437157203 |
| DR. GARY ROBERT MELVIN | M.D. | 1215960117 |
| MARGARET SHAMONSKY | M.D. | 1215044938 |
| JULIA R DAVIS | MD | 1396206603 |
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.