Individual
KIERSTEN MACKENZIE PROEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 N DYSART RD STE G127, AVONDALE, AZ 85392-1011
(623) 322-0323
(623) 322-0757
Mailing address
3400 N DYSART RD STE G127, AVONDALE, AZ 85392-1011
(623) 322-0323
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11872
AZ
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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