Most Relevant Information
Provider Data
| NPI Number: | 1003633876 |
| Provider Name: | KYLEE FAWCETT |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/23/2024 |
| Last Updated: | 09/23/2024 |
Provider Practice Location
550 N 3RD STREET
HEALTH NORTH BUILDING, 3RD FLOOR
PHOENIX
AZ
85004
Practice Location Phone/Fax
| Phone: | 6024960907 |
| Fax: |
Provider Mailing Location
550 N 3RD STREET
HEALTH NORTH BUILDING, 3RD FLOOR
PHOENIX
AZ
85004
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |