Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kylie Ruth Fackrell, PA-C

Individual provider Physician Assistant · NPI 1790330108

Kylie Ruth Fackrell, PA-C is a Physician Assistant in St George, Utah. Qualified in 2019, 7 years ago. Practices with Desert Pain Specialists LLC, an 18-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2019
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

617 E Riverside Dr Ste 301
St George, UT 84790-8722
Phone: (435) 216-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1790330108
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 3, 2019
Last updated in NPPESOctober 29, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Desert Pain Specialists Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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