Kenneth Henry Hyatt PA-C

NPI 1144312513 - Physician Assistant - 363AM0700X

NPI Details
NPI 1144312513
Gender Male
Enumeration Date 09/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 CLINIC ROAD
CHALLIS ID, 83226, US
Phone (208) 879-4351
Fax (208) 879-5216
Business Location
4737 GARDEN CREEK ROAD
CHALLIS ID, 83226, US
Phone (208) 879-4351
Fax (208) 879-5216
Toxanomy
Taxonomy Code 363AM0700X
License State Idaho
License Number PA-535
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According to our database, Mr. Kenneth Henry Hyatt PA-C NPI is 1144312513, taxonomy code is 363AM0700X and license number is PA-535, license state is located at Idaho. Kenneth Henry Hyatt PA-C physically located at 1 Clinic Road, Challis ID, 83226. NPI Number Kenneth Henry Hyatt PA-C has the Individual type.

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1144312513 NPI number is provided on an as is basis without warranty of any kind. 1144312513 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Henry Hyatt PA-C are for informational purposes only.