Individual
KYLIE TRUNCELLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 327-5461
Mailing address
16176 W POINSETTIA DR, SURPRISE, AZ 85379-1127
(623) 302-0782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2022
Last updated
09/26/2024
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