Individual
KAYLA SHACKLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3225 N CIVIC CENTER PLZ STE 1, SCOTTSDALE, AZ 85251-6919
(480) 246-3000
Mailing address
3805 E BELL RD STE 3100, PHOENIX, AZ 85032-2136
(602) 494-3656
(602) 867-3862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
11/16/2025
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