Individual
KYLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2530 E WILCOX DR, SIERRA VISTA, AZ 85635-2843
(520) 229-2080
(520) 229-2092
Mailing address
1521 E TANGERINE RD STE 201, ORO VALLEY, AZ 85755-6218
(520) 229-2080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9911
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344356
—
AZ
Enumeration date
02/12/2017
Last updated
04/29/2020
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