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

Kierstin Lealiiee

Individual provider Medical Physician Assistant · NPI 1124644182

Kierstin Lealiiee is a Physician Assistant in Gold Canyon, Arizona. Qualified in 2020, 6 years ago. Practices with Deseret Medical Associates PLC, a 5-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Nevada and Utah.

Years since qualifying
6
Licensed in
AZ, NV, UT
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

6410 S Kings Ranch Rd Ste 1
Gold Canyon, AZ 85118-7352
Phone: (480) 761-2500
Fax: (480) 288-2879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3760 E Leah Ln, Gilbert, AZ 85234-0023 — (602) 489-1313
  • 617 E Riverside Dr Ste 101, St George, UT 84790-8720 — (435) 628-4507

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10838 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2437 (NV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 11959125-1206 (UT)

Record details

NPI number1124644182
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 24, 2020
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025
Mailing address219 N 2940 E, St George, UT 84790-7096

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Deseret Medical Associates Plc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gold Canyon