Kelly C Banonis, NP is a family nurse practitioner in Mesa, AZ with 4 years of experience. Kelly C Banonis, NP NPI is 1790395531. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3322 N BRIGHTON
MESA, AZ
ZIP 85207-997
Phone: (815) 291-4460
The NPI 1790395531 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 8/6/2020 and was last updated on 8/6/2020.