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

Kiley Groebner

Individual provider Physician Assistant · NPI 1184346116

Kiley Groebner is a Physician Assistant in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Center for Dermatology PLLC, a 69-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

4512 N 40th St
Phoenix, AZ 85018-3604
Phone: (602) 954-7546
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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 number1184346116
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 15, 2022
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address2920 N 82nd St, Mesa, AZ 85207-9737

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Center For Dermatology Pllc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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