# KEVIN S DOYLE MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295940351
- **Authorized official:** DR. KEVIN S DOYLE MD (MEMBER OF PLLC)
- **Authorized official phone:** (928) 541-0859

## Contact information

- **Practice address:** 905 ANGELITA DR, PRESCOTT, AZ 86303-5019
- **Practice address phone:** (928) 541-0859
- **Mailing address:** 905 ANGELITA DR, PRESCOTT, AZ 86303-5019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24495 | AZ | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 362624 | — | AZ |