Individual
JENNIFER SHAY KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4611 E SHEA BLVD STE 190, PHOENIX, AZ 85028-4259
(480) 889-0180
(480) 889-0186
Mailing address
4611 E SHEA BLVD, BLDG 3 SUITE 170, PHOENIX, AZ 85028-4254
(480) 889-0180
(480) 889-0186
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2667
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
738320
—
AZ
Enumeration date
01/23/2006
Last updated
03/25/2025
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