Individual
KYLIE BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5313 W MARCUS DR, PHOENIX, AZ 85083-6342
(480) 299-6798
Mailing address
5313 W MARCUS DR, PHOENIX, AZ 85083-6342
(480) 299-6798
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
12/04/2023
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