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

MS. Angela Channelle Kiselyk

Individual provider Medical Physician Assistant · NPI 1912058694

MS. Angela Channelle Kiselyk is a Medical Physician Assistant in Mesa, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

4315 E Main St
Mesa, AZ 85205-8605
Phone: (480) 870-7500
Fax: (480) 906-2173
Show map & directions

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

Additional practice locations (1)

  • 4530 N 32nd St Ste 104, Phoenix, AZ 85018-3357 — (602) 279-6282

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3091 (AZ)

Record details

NPI number1912058694
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025

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