Individual provider · Type 1 NPI

Kiersten Mackenzie Proehl, PA-C

Medical Physician Assistant · Avondale, AZ

NPI number 1912823618 Active

Practice location

3400 N Dysart Rd Ste G127
Avondale, AZ 85392-1011

Fax (623) 322-0757

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X11872 (AZ)

Medical Physician Assistant: Definition to come...

11 other providers at this address

Other medical physician assistant providers in Avondale

See all in Avondale →

About NPI 1912823618

Kiersten Mackenzie Proehl, PA-C's National Provider Identifier is 1912823618, issued on Jun 26, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Avondale, AZ. The record was last updated on Jun 26, 2026.