Harrison Sherman Kuykendall III P.A.-C

NPI 1386760510 - Physician Assistant - 363A00000X

NPI Details
NPI 1386760510
Gender Male
Enumeration Date 03/21/2007
Last Updated 09/10/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
12550 HESPERIA ROAD
SUITE 100
VICTORVILLE CA, 92395-0000, US
Phone (760) 241-6666
Fax (760) 241-7575
Business Location
17095 MAIN ST
HESPERIA CA, 92345-0000, US
Phone (760) 241-6666
Fax (760) 241-7575
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA11476
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According to our database, Mr. Harrison Sherman Kuykendall III P.A.-C NPI is 1386760510, taxonomy code is 363A00000X and license number is PA11476, license state is located at California. Harrison Sherman Kuykendall III P.A.-C physically located at 12550 Hesperia Road, Victorville CA, 92395-0000. NPI Number Harrison Sherman Kuykendall III P.A.-C has the Individual type.

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1386760510 NPI number is provided on an as is basis without warranty of any kind. 1386760510 is maintained by the National Plan & Provider Enumeration System. The contents of Harrison Sherman Kuykendall III P.A.-C are for informational purposes only.