MEDICARE: KYLE MCDEVITT DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	F143616	IA
2	363LW0102X	Women's Health Nurse Practitioner	AP11663	AZ

General Provider Information

NPI Number	:	1902356074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLE MCDEVITT DNP

Provider Business Mailing Address
First Line	:	PO BOX 748817
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-8817
Country	:	US
Telephone Number	:	813-286-0033
Fax Number	:	813-282-1806

Provider Business Practice Location Address
First Line	:	3530 S VAL VISTA DR STE 202
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-7322
Country	:	US
Telephone Number	:	480-633-6868
Fax Number	:	480-633-6996

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2016
Last Update Date	:	05/14/2025

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