Kolby Raymond Hemmele, PA-C
Physician Assistant in Phoenix, AZ. Individual provider (NPI-1).
NPI number1962030734
StatusActive
Last updated in NPPESAug 13, 2025
Details
- NPI
- 1962030734
- Entity type
- Individual (NPI-1)
- Name
- Kolby Raymond Hemmele
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2020
- Certification date
- Aug 13, 2025
- Last updated
- Aug 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 7818 | AZ | Yes |
Practice location
9321 W Thomas Rd Ste 205Phoenix, AZ 85037-3392
Phone 866-974-2673 · Fax 866-939-2673
Mailing address
18444 N 25th Ave Ste 310Phoenix, AZ 85023-1266
Phone 866-974-2673 · Fax 866-939-2673
Other practice locations
18444 N 25th Ave Ste 210
Phoenix, AZ 85023-1264
Phoenix, AZ 85023-1264
Phone 866-974-2673
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