Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLIE RUTH FACKRELL, PA-C
ActivePhysician Assistant · ST GEORGE, UT
Registration Details
- NPI Number
- 1790330108
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2019 (6.7447518285852 yrs)
- Last Updated
- Oct 29, 2019
Practice Information
- Address
-
617 E RIVERSIDE DR STE 301ST GEORGE, UT, 847908722Browse UT providers · Browse ZIP 84790
- Phone
- 4352167000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ST GEORGE, UT
| Name | Credential | NPI |
|---|---|---|
| JAYME FOSTER LOTT | PA-C | 1619970647 |
| MR. TODD A STIRLING | PA C | 1821075227 |
| BRUCE A MCPHERSON | PA | 1265419451 |
| SHAUNA L MCBRIDE | PA C | 1457330532 |
| JACQUELINE L MURRAY | PA-C | 1215908322 |
| MR. SEAN J STUCKI | PA-C | 1245296383 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.