Provider Demographics
NPI:1790233013
Name:MAJORS, KELLY
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:MAJORS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:MICHELLE
Other - Last Name:KALAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:4790 E CAMP LOWELL DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1275
Mailing Address - Country:US
Mailing Address - Phone:520-319-5922
Mailing Address - Fax:520-319-6128
Practice Address - Street 1:4790 E CAMP LOWELL DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1275
Practice Address - Country:US
Practice Address - Phone:520-319-5922
Practice Address - Fax:520-319-6128
Is Sole Proprietor?:No
Enumeration Date:2016-09-15
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNF0916635363LF0000X
MS902496363LF0000X
AZ323495363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily