Individual provider · Type 1 NPI
Kaelyn Tkacik, PA-C
Physician Assistant · Maricopa, AZ
Practice location
44870 W Hathaway Ave Ste 6
Maricopa, AZ 85139-9600
Fax (480) 214-9999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 8695 (AZ) |
| Physician Assistant | 363A00000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1659966166
Kaelyn Tkacik, PA-C's National Provider Identifier is 1659966166, issued on Mar 5, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Maricopa, AZ. The record was last updated on Sep 24, 2025.