Individual provider · Type 1 NPI

Kimberly Jae Chrisman, PA-C

Surgical Physician Assistant · Phoenix, AZ

NPI number 1487679429 Active

Practice location

500 W Thomas Rd Ste 400
Phoenix, AZ 85013-4238

Call (602) 406-3874 Map

Fax (602) 406-2335

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269

Other practice locations

  • 1955 W Frye Rd, Chandler, AZ 85224-6282 · (480) 728-4700

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2922 (AZ)

Surgical Physician Assistant: Definition to come...

25 other providers at this address

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About NPI 1487679429

Kimberly Jae Chrisman, PA-C's National Provider Identifier is 1487679429, issued on Jul 12, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 8, 2026.