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NPI Code Detail

MEDICARE: DR. WILLIAM KYLE KWASS D.O., M.B.A.

MEDICARE: DR. WILLIAM KYLE KWASS D.O., M.B.A.
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
1207L00000XAnesthesiology Physician009015AZ
2207L00000XAnesthesiology PhysicianS3412TX

General Provider Information

NPI Number : 1669834446
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM KYLE KWASS D.O., M.B.A.
Provider Business Mailing Address
First Line : 450 W RED RIBBON LN
Second Line :
City : ORO VALLEY
State : AZ
Zip : 85755-4797
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4605 E ELWOOD ST STE 500
Second Line :
City : PHOENIX
State : AZ
Zip : 85040-1978
Country : US
Telephone Number : 480-256-1518
Fax Number : 480-304-3446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 08/23/2025

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