Courtney Shawn Kyle PA-C

NPI 1033112511 - Physician Assistant - 363AM0700X

NPI Details
NPI 1033112511
Gender Male
Enumeration Date 05/27/2005
Last Updated 04/17/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
2501 W WILLIAM CANNON DR
SUITE 401
AUSTIN TX, 78745-5281, US
Phone (512) 416-7246
Fax (512) 275-2833
Business Location
2501 W WILLIAM CANNON DR
SUITE 401
AUSTIN TX, 78745-5281, US
Phone (512) 416-7246
Fax (512) 275-2833
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA00470
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According to our database, Courtney Shawn Kyle PA-C NPI is 1033112511, taxonomy code is 363AM0700X and license number is PA00470, license state is located at Texas. Courtney Shawn Kyle PA-C physically located at 2501 W William Cannon Dr, Austin TX, 78745-5281. NPI Number Courtney Shawn Kyle PA-C has the Individual type.

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1033112511 NPI number is provided on an as is basis without warranty of any kind. 1033112511 is maintained by the National Plan & Provider Enumeration System. The contents of Courtney Shawn Kyle PA-C are for informational purposes only.