Individual
KENDALL WYLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3838 N CAMPBELL AVE, TUCSON, AZ 85719-1454
(520) 694-8888
Mailing address
3838 N CAMPBELL AVE, TUCSON, AZ 85719-1454
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
64200
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2015
Last updated
09/23/2021
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