Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellie Marie Lim, PA-C

Individual provider Physician Assistant · NPI 1831695824

Kellie Marie Lim, PA-C is a Physician Assistant in Mesa, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4360 E Brown Rd Ste 113
Mesa, AZ 85205-4084
Phone: (480) 964-0080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4946 W Electra Ln, Glendale, AZ 85310-3839 — (408) 410-0645

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6984 (AZ)

Record details

NPI number1831695824
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 30, 2018
Last updated in NPPESMay 3, 2018

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