| Legacy Wellness Pllc | |
|
19841 N 27th Ave Ste 204 Phoenix AZ 85027-4005 | |
| (623) 792-3584 | |
| Not Available |
| Full Name | Legacy Wellness Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 19841 N 27th Ave Ste 204, Phoenix, Arizona |
| Authorized Official Name and Position | Kristin Kelly (PROVIDER) |
| Authorized Official Contact | 6237923584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Wellness Pllc Po Box 46 Peoria AZ 85380-0046 Ph: (623) 792-3584 | Legacy Wellness Pllc 19841 N 27th Ave Ste 204 Phoenix AZ 85027-4005 Ph: (623) 792-3584 |
| NPI Number | 1912731712 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912731712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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