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

Kaylee Sue Vickers, PA-C

Individual provider Physician Assistant · NPI 1518503028

Kaylee Sue Vickers, PA-C is a Physician Assistant in Phoenix, Arizona. Licensed in Arizona and Texas. Registered with an NPI since 2019.

Licensed in
AZ, TX
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4513 N 2nd Dr
Phoenix, AZ 85013-2912
Phone: (615) 419-4797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7675 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA14842 (TX)

Record details

NPI number1518503028
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 19, 2019
Last updated in NPPESMay 17, 2025
Certification dateMay 17, 2025

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