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MR. KYLE L KOSKI PA-C
NPI 1407803588
Physician Assistant - Medical in Phoenix, AZ

Active since May 27, 2006
11034 N 23RD DR # 105B, PHOENIX, AZ 85029(602) 639-0189 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2020, Oct 12, 2018 (2 updates tracked since 2018).

About Mr. Kyle L Koski Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KYLE L KOSKI PA-C (NPI 1407803588) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (3392) and active in the NPI registry since May 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407803588
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KYLE L KOSKICredential: PA-C
Location Address11034 N 23RD DR # 105BPhoenix, AZ 85029-4743
Mailing Address165 El Camino RealSierra Vista, AZ 85635-2807 · (520) 458-5539 · Fax (520) 458-5584
Phone(602) 639-0189
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateFebruary 5, 20202 updates tracked since enumeration
✔ NPI 1407803588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in AZ · 3392✔ Licensed in OR · PA1865293
11034 N 23RD DR # 105B, Phoenix, AZ 85029
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1165 El Camino RealSierra Vista, AZ 85635 · Phone (520) 458-1787 · Fax (520) 458-1519
Location 21793 13th St SESalem, OR 97302-2541 · Phone (503) 362-8385 · Fax (503) 362-8435

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTALLE C PAYANO PA-C
Physician Assistant (Medical)
11034 N 23RD DR # 105B
PHOENIX, AZ 85029
Maricopa County (602) 639-0189
MISS ARUNDATHI P. NARAYANAPPA P.A.
Physician Assistant
11034 N 23RD DR # 105B
PHOENIX, AZ 85029
Maricopa County (602) 639-0189
SOUTHWEST MOBILE DERMATOLOGY PLC
Dermatology
11034 N 23RD DR # 105B
PHOENIX, AZ 85029
Maricopa County (480) 330-5840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Koski's NPI number?

The NPI number for Kyle Koski is 1407803588. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Kyle Koski located?

Kyle Koski practices at 11034 N 23rd Dr # 105B, Phoenix, AZ 85029. The listed phone number is (602) 639-0189.

What is Kyle Koski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kyle Koski was last updated on February 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.