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

Dr. Kelly Vanderbilt Bomer, MD

Individual provider Facial Plastic Surgery Physician · NPI 1871501999

Dr. Kelly Vanderbilt Bomer, MD is a Facial Plastic Surgery Physician in Scottsdale, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
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

9155 E Bell Rd
Scottsdale, AZ 85260-1521
Phone: (480) 889-8870
Fax: (480) 889-8871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 30302 (AZ)

Record details

NPI number1871501999
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESDecember 20, 2019
Certification dateDecember 20, 2019

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