Individual
MS. ANGELA CHANNELLE KISELYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 E MAIN ST, MESA, AZ 85205-8605
(480) 870-7500
(480) 906-2173
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3091
AZ
Other
Enumeration date
01/16/2007
Last updated
06/06/2025
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