Kelly Diana Deckard
FNP | Nurse Practitioner - Pediatrics
2120 N Central Ave, Phoenix
Arizona, 85004-1455
602-933-6100
Kelly Diana Deckard is a Phoenix, Arizona based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Kelly Diana Deckard is 274000 for Pediatrics in Arizona. Her current practice location is 2120 N Central Ave, Phoenix. Patients can reach her at 602-933-6100 or can fax her at 602-933-2422. Kelly Diana Deckard is FNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1245668623.
Kelly Diana Deckard specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Kelly Diana Deckard speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kelly Diana Deckard |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | FNP |
| Practice Address: | 2120 N Central Ave, Phoenix,
Arizona, 85004-1455 |
| Phone: | 602-933-6100 |
| Fax: | 602-933-2422 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1245668623 |
| NPI Enumeration Date: | 23 Oct, 2013 |
| NPI Last Update On: | 21 Jun, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Diana Deckard are as mentioned below.
| License Number | Specialization | State | Status | |
| 274000 | Pediatrics | Arizona | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly Diana Deckard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 158847 | Medicaid | Arizona | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kelly Diana Deckard
2108 E Thomas Rd Ste 130,
Phoenix, Arizona |
| Zip: | 85016-0008 |
| Phone Number: | 602-933-1813 |
Patients can reach Kelly Diana Deckard at
2120 N Central Ave, Phoenix, Arizona or can
call to book an appointment on 602-933-6100.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.