Individual provider · NPI-1

Kelvin Benally Jr.

Specialist/Technologist, Athletic Trainer · Scottsdale, AZ

NPI number1114783271
StatusActive
Last updated in NPPESApr 28, 2026

Details

NPI
1114783271
Entity type
Individual (NPI-1)
Name
Kelvin Benally Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 26, 2024
Certification date
Apr 28, 2026
Last updated
Apr 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer–AZYes

Practice location

9000 E Chaparral Rd
Scottsdale, AZ 85256-2626

Phone 480-423-6000

Mailing address

Po Box 1468
Shiprock, NM 87420-1468

Phone 505-947-8464

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