DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KYLEE ROSE TATE PA-C

MEDICARE: KYLEE ROSE TATE PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1306557913
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLEE ROSE TATE PA-C
Provider Business Mailing Address
First Line : 16635 N 43RD AVE # 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85053-2707
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16635 N 43RD AVE # 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85053-2707
Country : US
Telephone Number : 480-553-6168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2022
Last Update Date : 04/22/2024

Similar Medicare Providers

1629060686 — CIGNA HEALTH CARE OF ARIZONA INC
Practice Location Address:
16635 N 43RD AVE
PHOENIX, AZ
85053-2707
Practice Phone: 602-843-7933
Practice Fax: 602-843-7946
1689654261 — JEF LEBER MD
Practice Location Address:
16635 N 43RD AVE
PHOENIX, AZ
85053-2707
Practice Phone: 602-843-7900
Practice Fax:
1770654105 — CIGNA HEALTH CARE OF ARIZONA INC.
Practice Location Address:
16635 N 43RD AVE
PHOENIX, AZ
85053-2707
Practice Phone: 602-843-7900
Practice Fax:
1225228026 — PETER SANGBEOM CHOI M.D.
Practice Location Address:
16635 N 43RD AVE
PHOENIX, AZ
85053-2707
Practice Phone: 602-843-7900
Practice Fax: 602-843-7903
1427369800 — SALLY LASHWAY M.S.
Practice Location Address:
16635 N 43RD AVE
PHOENIX, AZ
85053-2707
Practice Phone: 602-843-7904
Practice Fax: 602-843-7954
1003625997 — KRISTA JANISZEWSKI BAUER MSN, FNP-C, WCC, OMS
Practice Location Address:
16635 N 43RD AVE
PHOENIX, AZ
85053-2707
Practice Phone: 623-249-0741
Practice Fax:

Directions to “ KYLEE ROSE TATE PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.