Search › Arizona › 363AM0700X
Kyle Koski, PA-C
NPI 1407803588 · on the registry since 2006
Practice
- Address
- 11034 N 23rd Dr # 105b
Phoenix, AZ 85029 - Phone
- (602) 639-0189
- Organisation at this address
- Southwest Mobile Dermatology Plc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 165 El Camino Real, Sierra Vista, AZ
- 1793 13th St Se, Salem, OR
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
- Licence states on file
- OR, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona