Individual
KYLE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3219 E CAMELBACK RD, #205, PHOENIX, AZ 85018-2307
(480) 388-1742
Mailing address
3219 E CAMELBACK RD, #205, PHOENIX, AZ 85018-2307
(480) 388-1742
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6666
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2016
Last updated
06/01/2023
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