Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kylie Boothe Prehn, DO

Individual provider Family Medicine Physician · NPI 1982100756

Dr. Kylie Boothe Prehn, DO is a Family Practice in Glendale, Arizona. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2018, 8 years ago. Practices with Midwestern University, a 117-clinician group and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
8
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
AZ, IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

19389 N 59th Ave
Glendale, AZ 85308-6500
Phone: (623) 537-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 009194 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125.072944 (IL)

Record details

NPI number1982100756
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023
Mailing address19389 N 59th Ave, Glendale, AZ 85308-6500

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2018 (8 years in practice)
Group practice Midwestern University — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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