Doctor profile · Federal record
Dr. Kyle Koski, PA-C
Medical Physician Assistant · Medical Physician Assistant · Phoenix, AZ
- NPI 1407803588
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
11034 N 23Rd Dr # 105B
Phoenix, AZ 850294743
(602) 639-0189 - Additional location
-
165 El Camino Real
Sierra Vista, AZ 85635
(520) 458-1787
fax (520) 458-1519 - Additional location
-
1793 13Th St Se
Salem, OR 973022541
(503) 362-8385
fax (503) 362-8435 - Mailing address
-
165 El Camino Real
Sierra Vista, AZ 856352807
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- February 5, 2020
- Specialty taxonomy
- 363AM0700X — NUCC code
- State licenses (2)
- Arizona #3392 · Oregon #PA1865293
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1407803588. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$79
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ucb, INC. | 1 | $50.00 | |
| Tactile Systems Technology INC | 1 | $28.81 |
By nature of payment
Frequently asked questions
What is Dr. Kyle Koski's medical specialty?
Dr. Kyle Koski practices Medical Physician Assistant in Phoenix, AZ.
Where does Dr. Kyle Koski practice?
Dr. Kyle Koski practices at 11034 N 23Rd Dr # 105B, Phoenix, AZ 850294743. Office phone: 6026390189.
What is Dr. Kyle Koski's NPI?
Dr. Kyle Koski's National Provider Identifier (NPI) is 1407803588, issued by NPPES.