Kenneth Mark Hyman PA-C, D.C.

NPI 1104942762 - Physician Assistant - 363AM0700X

NPI Details
NPI 1104942762
Gender Male
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3329 ERICA PL
LOMPOC CA, 93436-8320, US
Phone (805) 588-0161
Fax
Business Location
3329 ERICA PL
LOMPOC CA, 93436-8320, US
Phone (805) 588-0161
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State California
License Number 19078
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According to our database, Mr. Kenneth Mark Hyman PA-C, D.C. NPI is 1104942762, taxonomy code is 363AM0700X and license number is 19078, license state is located at California. Kenneth Mark Hyman PA-C, D.C. physically located at 3329 Erica Pl, Lompoc CA, 93436-8320. NPI Number Kenneth Mark Hyman PA-C, D.C. has the Individual type.

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1104942762 NPI number is provided on an as is basis without warranty of any kind. 1104942762 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Mark Hyman PA-C, D.C. are for informational purposes only.