Kevin S Doyle MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24495 Issued in AZ

Legal business name

KEVIN S DOYLE MD PLLC

Practice address

905 Angelita Dr
Prescott, AZ 86303-5019

Phone

(928) 541-0859

NPI assigned

May 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin S Doyle, MD

Title

Member of PLLC

Phone

(928) 541-0859

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295940351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ANGELITA DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863035019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ANGELITA DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863035019",
            "telephone_number": "928-541-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN S DOYLE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER OF PLLC",
        "authorized_official_telephone_number": "928-541-0859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "24495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362624",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rovena R Kennedy, LDO
• Kenneth G. Lawlor, DO, PLLC
• Julia Catherine Kennison, APRN, FNP-C
• Erin Lynn Kerr, DNP, APRN-CNP
• Scott Kerr, MSW, LCSW
• Janie Kewenvoyouma, LMSW
• Carol H Kibbee, LPC
• Cynthia Bess Kidd, LPC
• Lori Ann Kidd, LPC
• Mark Everett Kiffer, DO, MBA

• Family Medicine Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.