Individual provider · Type 1 NPI

Kyle L. Koski, PA-C

Medical Physician Assistant · Phoenix, AZ

NPI number 1407803588 Active

Practice location

11034 N 23rd Dr # 105B
Phoenix, AZ 85029-4743

Call (602) 639-0189 Map

Mailing address

165 El Camino Real
Sierra Vista, AZ 85635-2807

Other practice locations

  • 165 El Camino Real, Sierra Vista, AZ 85635 · (520) 458-1787
  • 1793 13th St SE, Salem, OR 97302-2541 · (503) 362-8385

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA1865293 (OR)
Medical Physician Assistant Primary 363AM0700X3392 (AZ)

Medical Physician Assistant: Definition to come...

3 other providers at this address

Other medical physician assistant providers in Phoenix

See all in Phoenix →

About NPI 1407803588

Kyle L. Koski, PA-C's National Provider Identifier is 1407803588, issued on May 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 5, 2020.