Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diane Kelly, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134789100

Diane Kelly, MD is a Student in an Organized Health Care Education/Training Program in Tucson, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5301 E Grant Rd
Tucson, AZ 85712-2874
Phone: (520) 324-5461
Fax: (520) 324-2051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Loma Linda University Health- Pediatrics, Loma Linda, CA 92354-2804 — (909) 558-4174

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 77119 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134789100
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2019
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025

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