Healthcare Provider Details

I. General information

NPI: 1912825092
Provider Name (Legal Business Name): KINDCARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14545 E GRAND AVE SUITE # 106
SURPRISE AZ
85374
US

IV. Provider business mailing address

PO BOX 2005
SURPRISE AZ
85378-2005
US

V. Phone/Fax

Practice location:
  • Phone: 480-415-7042
  • Fax:
Mailing address:
  • Phone: 480-415-7042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KEVIN SY
Title or Position: PROVIDER/OWNER
Credential: FNP-C
Phone: 480-415-7042