Individual
BRIAN KUMMET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4117 N 17TH ST, PHOENIX, AZ 85016-5921
(480) 341-5174
(480) 781-4524
Mailing address
4117 N 17TH ST, PHOENIX, AZ 85016-5921
(480) 440-2886
(480) 781-4524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6189
AZ
Other
Enumeration date
09/28/2015
Last updated
09/12/2025
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