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

Kevin Sy

Individual provider Family Nurse Practitioner · NPI 1083401301

Kevin Sy is a Nurse Practitioner in Glendale, Arizona. Qualified in 2025, 1 year ago. Practices with I-Med P C, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025

Practice location Address checks out

5700 W Olive Ave Ste 102
Glendale, AZ 85302-3147
Phone: (623) 387-3705
Fax: (623) 439-7467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 322427 (AZ)

Record details

NPI number1083401301
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 18, 2025
Mailing address5700 W Olive Ave Ste 102, Glendale, AZ 85302-3147

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice I-Med P C — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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