Individual
KYLEEN MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 E BASELINE RD, PHOENIX, AZ 85042-6589
(602) 243-7277
Mailing address
325 E BASELINE RD, PHOENIX, AZ 85042-6589
(916) 952-0556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11379
AZ
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
05/27/2026
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