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

Kyle Jervis, PA-C

Individual provider Physician Assistant · NPI 1053846659

Kyle Jervis, PA-C is a Physician Assistant in Goodyear, Arizona. Licensed in Arizona and Maryland. Registered with an NPI since 2017.

Licensed in
AZ, MD
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13677 W McDowell Rd # AZ85395
Goodyear, AZ 85395-2635
Phone: (623) 882-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7195 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence C06468 (MD)

Record details

NPI number1053846659
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 21, 2017
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing address19947 W Rancho Dr, Litchfield Park, AZ 85340-2667

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