Kelley Marie Marlow, PNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RNP260103 Issued in AZ

Practice address

333 E Camelback Rd Ste 175
Phoenix, AZ 85012-1623

Phone

(602) 840-3120

NPI assigned

Oct 18, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Camelback Pediatrics PC

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1831257575
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1902522295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 S LAKESHORE DR APT 3050",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821170",
            "telephone_number": "516-784-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E CAMELBACK RD STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121623",
            "telephone_number": "602-840-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLOW",
        "first_name": "KELLEY",
        "middle_name": "MARIE",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "RNP260103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick S Markson, P.A.-C
• Marla R. Lander MD Professional Corp
• Audrey Marie Marlar, OTR, RN
• Kara Marie Marley, RN, BSN
• Lindsey Marlin
• Louis Maro, D.D.S.
• Jerry Maroney
• Kate E Maroney, MD
• Tincy Maroor
• Matthew M Maropis, D.M.D.

• Pediatric Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.