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

Kyle Sanniec, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912340043

Kyle Sanniec, MD is a Plastic and Reconstructive Surgery in Phoenix, Arizona. Graduated from University of Arizona College of Medicine in 2013, 13 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
13
Trained at
University of Arizona College of Medicine
Licensed in
AZ
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9250 N 3rd St Ste 1003
Phoenix, AZ 85020-2402
Phone: (602) 331-7811
Show map & directions

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

Additional practice locations (1)

  • 5201 Harry Hines Blvd, Dallas, TX 75235-7708 — (214) 590-8058

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 60973 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912340043
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2013
Last updated in NPPESJuly 17, 2020
Certification dateJuly 17, 2020

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesHAND SURGERY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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