Individual provider · NPI-1

Kaylan Joy Burkett, NP

Nurse Practitioner, Family · Sun City West, AZ

NPI number1972073013
StatusActive
Last updated in NPPESSep 1, 2021

Details

NPI
1972073013
Entity type
Individual (NPI-1)
Name
Kaylan Joy Burkett
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 2, 2018
Certification date
Sep 1, 2021
Last updated
Sep 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family11737AZYes

Practice location

14420 W Meeker Blvd Ste 207
Sun City West, AZ 85375-5288

Phone 623-267-6700 · Fax 623-267-6701

Mailing address

1457 S 167th Dr
Goodyear, AZ 85338-7313

Phone 810-874-1190

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