KELLY ALEXANDER MCCORMICK M.D. NPI 1497102784

NPI Information

Kelly Alexander Mccormick, M.D. is a diagnostic radiology radiology in Phoenix, AZ with 8 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Kelly Alexander Mccormick, M.D. NPI is 1497102784. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

350 W THOMAS RD
PHOENIX, AZ
ZIP 85013-409
Phone: (602) 406-7783

The NPI 1497102784 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2016 and was last updated on 6/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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