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

Individual provider Physician Assistant · NPI 1093795064

Kelly Marie Parker, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 1994, 32 years ago. Practices with Phoenix Children's Hospital, a 430-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
32
Licensed in
AZ
In the registry since
2006
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

1920 E Cambridge Ave Ste 302
Phoenix, AZ 85006-1464
Phone: (602) 933-5200
Fax: (602) 933-4272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1920 E. Cambridge Ave, Phoenix, AZ 85006 — (602) 279-1697

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1882 (AZ)

Record details

NPI number1093795064
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 18, 2006
Last updated in NPPESJanuary 26, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Phoenix Children'S Hospital — 430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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