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

Kyle Fjerstad, PAC

Individual provider Physician Assistant · NPI 1366862526

Kyle Fjerstad, PAC is a Physician Assistant in Lake Havasu City, Arizona. Qualified in 2014, 12 years ago. Practices with Allied Internal Medicine PLLC, a 24-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

101 Civic Center Ln
Lake Havasu City, AZ 86403-5607
Phone: (928) 885-8185
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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 number1366862526
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 25, 2014
Last updated in NPPESApril 29, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Allied Internal Medicine Pllc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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