Provider Demographics
NPI:1508679036
Name:CORBETT, KYLIE DANIELLE (DNP)
Entity type:Individual
Prefix:
First Name:KYLIE
Middle Name:DANIELLE
Last Name:CORBETT
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5509 MAGNUM WAY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-1385
Mailing Address - Country:US
Mailing Address - Phone:562-477-4220
Mailing Address - Fax:
Practice Address - Street 1:3701 ELDORADO PKWY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-4229
Practice Address - Country:US
Practice Address - Phone:972-548-7888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1189509363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics