Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kendal Packer

Individual provider Physician Assistant · NPI 1023566817

Kendal Packer is a Physician Assistant in Mesa, Arizona. Qualified in 2016, 10 years ago. Practices with Hw Dermatology PLLC, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
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Practice location Address checks out

10238 E Hampton Ave Ste 404
Mesa, AZ 85209-3319
Phone: (480) 771-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1023566817
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 21, 2016
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address4220 N 20th Ave, Phoenix, AZ 85015-5124

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Hw Dermatology Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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