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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063138170

Laramie Kuykendall, PA is a Physician Assistant in Mesa, Arizona. Qualified in 2022, 4 years ago. Licensed in Arizona, Kansas and Oklahoma.

Years since qualifying
4
Licensed in
AZ, KS, OK
In the registry since
2022
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Mesa, AZ

No coordinates on file. Search this address in Google Maps

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10566 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (KS)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4865 (OK)
Physician Assistant Taxonomy 363A00000X · Licence 15-02718 (KS)

Record details

NPI number1063138170
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 19, 2022
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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