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

Kalan Ann Kelch, AG-ACNP

Individual provider Gerontology Nurse Practitioner · NPI 1659764124

Kalan Ann Kelch, AG-ACNP is a Nurse Practitioner in Goodyear, Arizona. Qualified in 2014, 12 years ago. Practices with Canyon Pain and Spine, an 18-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

14445 W McDowell Rd Ste A104
Goodyear, AZ 85395-2518
Phone: (480) 561-5000
Fax: (480) 984-4066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6320 W Union Hills Dr Ste A270, Glendale, AZ 85308-7175 — (480) 561-5000
  • 13920 W Camino Del Sol Ste 8, Sun City, AZ 85375-4438 — (480) 561-5000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 221426 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 221426 (AZ)

Record details

NPI number1659764124
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedMarch 9, 2015
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Canyon Pain And Spine — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Goodyear