KYLE SANNIEC MD NPI 1912340043

NPI Information

Kyle Sanniec, MD is a plastic and reconstructive surgery surgery in Phoenix, AZ with 11 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Kyle Sanniec, MD NPI is 1912340043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

9250 N 3RD ST STE 1003
PHOENIX, AZ
ZIP 85020-402
Phone: (602) 331-7811

The NPI 1912340043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2013 and was last updated on 7/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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