Individual provider · Type 1 NPI

Kelsi Madelyn Kocmoud, PA-C

Physician Assistant · Peoria, AZ

NPI number 1770031403 Active

Practice location

13943 N 91st Ave Ste B101
Peoria, AZ 85381-3688

Call (623) 476-5390 Map

Mailing address

5995 N 78th St Unit 2008
Scottsdale, AZ 85250-6123

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone 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 1770031403

Kelsi Madelyn Kocmoud, PA-C's National Provider Identifier is 1770031403, issued on Sep 12, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Peoria, AZ. The record was last updated on Sep 17, 2022.