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

Individual provider Plastic Surgery Physician · NPI 1083126809

Mrs. Kelly Anne Soares, PA-C is a Plastic Surgery Physician in Scottsdale, Arizona. Works from 2 locations. Licensed in Arizona and California.

Licensed in
AZ, CA
In the registry since
2017
Specialties on file
2
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

9819 N 95th St Ste 105
Scottsdale, AZ 85258-4588
Phone: (480) 874-2229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3805 E Bell Rd Ste 5800, Phoenix, AZ 85032-2190 — (602) 688-6500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7523 (AZ)
Plastic Surgery Physician Taxonomy 208200000X · Licence 363A00000X (CA)

Record details

NPI number1083126809
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 2, 2017
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

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