Individual
KEVIN SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5700 W OLIVE AVE STE 102, GLENDALE, AZ 85302-3147
(623) 387-3705
(623) 439-7467
Mailing address
5700 W OLIVE AVE STE 102, GLENDALE, AZ 85302-3147
(623) 387-3705
(623) 439-7467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
322427
AZ
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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