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

Kiersten Mackenzie Proehl, PA-C

Individual provider Medical Physician Assistant · NPI 1912823618

Kiersten Mackenzie Proehl, PA-C is a Medical Physician Assistant in Avondale, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3400 N Dysart Rd Ste G127
Avondale, AZ 85392-1011
Phone: (623) 322-0323
Fax: (623) 322-0757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 11872 (AZ)

Record details

NPI number1912823618
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2026
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

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