KTL PLASTIC SURGERY
NPI 1053834739
Plastic Surgery in Phoenix, AZ

Q: What is Ktl Plastic Surgery's NPI number?

The NPI number for Ktl Plastic Surgery is 1053834739. It was assigned to this organization in the NPPES registry on July 25, 2017.

Q: What is Ktl Plastic Surgery's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since July 25, 2017

10910 N TATUM BLVD STE B100, PHOENIX, AZ 85028(631) 827-8159 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jul 25, 2017 (2 updates tracked since 2017).

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About Ktl Plastic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KTL PLASTIC SURGERY (NPI 1053834739) is a healthcare organization registered as a plastic surgery in Phoenix, Arizona and active in the NPI registry since July 2017. The organization lists Mathew James, Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1053834739

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameKTL PLASTIC SURGERY

Location Address10910 N TATUM BLVD STE B100Phoenix, AZ 85028-3080

Mailing Address10910 N Tatum Blvd Ste B100Phoenix, AZ 85028-3080 · (631) 827-8159

Phone(631) 827-8159

Organization SubpartNo

Authorized OfficialMathew JamesPatient Accounts · (631) 827-8159

Enumeration DateJuly 25, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1053834739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

10910 N TATUM BLVD STE B100, Phoenix, AZ 85028

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEUTRINO LLC

Plastic Surgery