Dr. Kelly Clough
Naturopath
4653 S Lakeshore Dr Ste 1
Tempe
, Arizona 85282-7161
Dr. Kelly Clough
Naturopath
4653 S Lakeshore Dr Ste 1
Tempe
, Arizona 85282-7161
(602) 730-6160
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About
Features
Specialties
- Naturopath
Languages spoken
- English
Location
First Address
- Dr. Kelly Clough
- 4653 S Lakeshore Dr Ste 1
- Tempe, AZ
- Zip : 85282-7161
- Phone : (602) 730-6160
Second Address
- Dr. Kelly Clough
- 4653 S Lakeshore Dr Ste 1
- Tempe, AZ
- Zip : 85282-7161
- Phone : (602) 730-6160
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 13-1394 | AZ |
National Provider Identifier
| NPI | 1033548037 |
|---|---|
| Provider Name | Dr. Kelly Clough |
| First Address | Tempe, AZ 85282-7161 |
| Second Address | Tempe, AZ 85282-7161 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/11/2013 |
| Last Update Date | 11/11/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.