Kylie Ruth Fackrell (NPI# 1790330108, PAC ID# 3476986654) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1790330108 |
| PAC ID by PECOS | 3476986654 |
| Professional Enrollment ID | I20191202000626 |
| Full Name | Kylie Ruth Fackrell |
| Organization Legal Name | DESERT PAIN SPECIALISTS LLC |
| Address |
617 E Riverside Dr Suite 301 Saint George UT 84790-8722 |
| Phone Number | 4352167000 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3072683051 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 | 4352167000 | DESERT PAIN SPECIALISTS LLC |
| Organization Legal Name | DESERT PAIN SPECIALISTS LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Spencer George Wells | Pain Management | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Melissa J Hinton | Nurse Practitioner | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Joanne Abegglen | Nurse Practitioner | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Joseph C Empey | Anesthesiology | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Cortney A Bernardo | Physician Assistant | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Rachel Helena Allen | Pain Management | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Ryan Kent Workman | Interventional Pain Management | Desert Pain Specialists LLC | 340 Falcon Ridge Pkwy, Suite 603, Mesquite, NV 89027-8852 |
| Mark Warren Udy | Physician Assistant | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Nicholas Earl Stucki | Nurse Practitioner | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Brian David Jorgensen | Physician Assistant | Desert Pain Specialists LLC | 340 Falcon Ridge Pkwy, Suite 603, Mesquite, NV 89027-8852 |
| Street Address |
617 E RIVERSIDE DR SUITE 301 |
| City | SAINT GEORGE |
| State | UT |
| Zip | 84790-8722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Spencer George Wells | Pain Management | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Melissa J Hinton | Nurse Practitioner | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Joanne Abegglen | Nurse Practitioner | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Joseph R Jacob | Otolaryngology | Southern Utah Ear Nose and Throat LLC | 617 E Riverside Dr, Suite 201, St George, UT 84790-8049 |
| Sherine Smith | Physician Assistant | St George Eye Center LLC | 617 E Riverside Dr, Suite 101, St George, UT 84790-8049 |
| Andrew H Vaughan | Otolaryngology | Southern Utah Ear Nose and Throat LLC | 617 E Riverside Dr, Suite 201, St George, UT 84790-8049 |
| Joseph C Empey | Anesthesiology | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Heather A Smith | Qualified Audiologist | Audiology Management LLC | 617 E Riverside Dr, Apt 102, St George, UT 84790-8720 |
| Nicholas L Behunin | Ophthalmology | St George Eye Center LLC | 617 E Riverside Dr, Suite 101, St George, UT 84790-8049 |
| George P Doxey | Otolaryngology | Southern Utah Ear Nose and Throat LLC | 617 E Riverside Dr, Suite 201, St George, UT 84790-8049 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith S Sampson | Nurse Practitioner | Ihc Health Services Inc | 652 S Medical Ctr Dr, 320 Sw Neurololgy Assoc, St George, UT 84790 |
| Joseph Aaron Smith | Optometry | 599 S Mall Dr, Spc K1, St George, UT 84790-1258 | |
| Andrew P White | Chiropractic | 435 N 1680 E, 6 Innova Pain Clinic, St George, UT 84790-1448 | |
| Bruce C Solomon | Clinical Social Worker | 2298 E 200, St George, UT 84790-1603 | |
| Justin W Salmon | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Brian T Richey | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Torrence Brock Kesterson | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Joshua L Frame | Internal Medicine | Southwest Internal Medicine, P. C. | 292 S 1470, Suite 100, St George, UT 84790-1764 |
| Jason C Swigert | Internal Medicine | Southwest Internal Medicine, P. C. | 292 S 1470, St George, UT 84790-1764 |
| Grace J Paradela | Internal Medicine | Grace Paradela Md PC | 292 S 1470, Suite 200, St George, UT 84790-1764 |
| Find all physicians in zip 84790 | |||
| City | SAINT GEORGE |
| Zip Code | 84790 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAINT GEORGE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kylie Ruth Fackrell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.