Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAELYN TKACIK, PA-C
Active Sole ProprietorKAELYN TKACIK, PA-C is a Physician Assistant healthcare provider located in MARICOPA, Arizona. NPI 1659966166 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MARICOPA, AZ
Registration Details
- NPI Number
- 1659966166
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2021 (5.468559382637 yrs)
- Last Updated
- Sep 24, 2025
- License
-
8695 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
44870 W HATHAWAY AVE STE 6MARICOPA, AZ, 851399600Browse AZ providers · Browse ZIP 85139
- Phone
- 4802149000
- Fax
- 4802149999
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Student (Health Education/Training)
Other Physician Assistant Providers in MARICOPA, AZ
| Name | Credential | NPI |
|---|---|---|
| ROBERT G MITCHELSON | P A | 1265550511 |
| TRACEY JOHN | P.A.-C | 1780043174 |
| MS. RUPINDER K DHILLON | PA-C | 1932736964 |
| JACOB FISHER | PA-C | 1346017324 |
| NATALIA RICHMOND | PA-C | 1518854363 |
| IAN RAWLUK | — | 1306735089 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.