Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KIERSTEN MACKENZIE PROEHL PA-C
NPI 1912823618
Physician Assistant - Medical in Avondale, AZ

Active since June 26, 2026
3400 N DYSART RD STE G127, AVONDALE, AZ 85392(623) 322-0323(623) 322-0757 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kiersten Mackenzie Proehl Pa-c NPPES

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

KIERSTEN MACKENZIE PROEHL PA-C (NPI 1912823618) is an individual medical provider in Avondale, Arizona, licensed in Arizona (11872) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1912823618
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKIERSTEN MACKENZIE PROEHLCredential: PA-C
Location Address3400 N DYSART RD STE G127Avondale, AZ 85392-1011
Mailing Address3400 N Dysart Rd Ste G127Avondale, AZ 85392-1011 · (623) 322-0323
Fax(623) 322-0757
Sole ProprietorNo
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
NPI 1912823618 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
License Licensed in AZ · 11872
3400 N DYSART RD STE G127, Avondale, AZ 85392

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Gastroenterology)
3400 N DYSART RD STE G127
AVONDALE, AZ 85392
Internal Medicine (Gastroenterology)
3400 N DYSART RD STE G127
AVONDALE, AZ 85392
Internal Medicine
3400 N DYSART RD STE G127
AVONDALE, AZ 85392
Physician Assistant (Medical)
3400 N DYSART RD STE G127
AVONDALE, AZ 85392
Physician Assistant (Medical)
3400 N DYSART RD STE G127
AVONDALE, AZ 85392
Internal Medicine (Gastroenterology)
3400 N DYSART RD STE G127
AVONDALE, AZ 85392
Internal Medicine (Gastroenterology)
3400 N DYSART RD STE G127
AVONDALE, AZ 85392
Internal Medicine (Gastroenterology)
3400 N DYSART RD STE G127
AVONDALE, AZ 85392

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 Kiersten Proehl's NPI number?

The NPI number for Kiersten Proehl is 1912823618. It was assigned to this individual provider in the NPPES registry on June 26, 2026.

Where is Kiersten Proehl located?

Kiersten Proehl practices at 3400 N Dysart Rd Ste G127, Avondale, AZ 85392. The listed phone number is (623) 322-0323.

What is Kiersten Proehl'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 Kiersten Proehl was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.