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Search › Arizona › 363A00000X

Brian Kummet, PA-C

NPI 1801266218 · on the registry since 2015 · sole proprietor

Practice

Address
4117 N 17th St
Phoenix, AZ 85016
Phone
(480) 341-5174
Fax
(480) 781-4524
Organisation at this address
Emma Center Inc
Blooming Agave Wellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 350 W Thomas Rd, Phoenix, AZ

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-12

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