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

Mr. Kenneth Kwilosz III, PA

Individual provider Physician Assistant · NPI 1457802720

Mr. Kenneth Kwilosz III, PA is a Physician Assistant in Scottsdale, Arizona. Registered with an NPI since 2016.

In the registry since
2016
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

14010 N Northsight Blvd
Scottsdale, AZ 85260-3601
Phone: (480) 443-0384
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1457802720
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 20, 2016
Last updated in NPPESOctober 20, 2016

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