Healthcare Provider Details

I. General information

NPI: 1992684229
Provider Name (Legal Business Name): KAYLI J BOYLES AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 E MCDOWELL RD STE 200
PHOENIX AZ
85006-2608
US

IV. Provider business mailing address

225 N STANDAGE UNIT 107
MESA AZ
85201-6277
US

V. Phone/Fax

Practice location:
  • Phone: 602-956-1250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberDA16729
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: