Individual
KILEY GROEBNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4512 N 40TH ST, PHOENIX, AZ 85018-3604
(602) 954-7546
Mailing address
2920 N 82ND ST, MESA, AZ 85207-9737
(480) 313-0796
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
03/27/2024
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