Kista Kidwell Hurley PA-C

NPI 1164459665 - Physician Assistant - 363AS0400X

NPI Details
NPI 1164459665
Gender Female
Enumeration Date 06/28/2006
Last Updated 08/24/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
508 FULTON ST # 112
DURHAM NC, 27705-3875, US
Phone (919) 286-0411
Fax (919) 416-5857
Business Location
508 FULTON ST # 112
DURHAM NC, 27705-3875, US
Phone
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State North Carolina
License Number 101377
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According to our database, Ms. Kista Kidwell Hurley PA-C NPI is 1164459665, taxonomy code is 363AS0400X and license number is 101377, license state is located at North Carolina. Kista Kidwell Hurley PA-C physically located at 508 Fulton St # 112, Durham NC, 27705-3875. NPI Number Kista Kidwell Hurley PA-C has the Individual type.

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1164459665 NPI number is provided on an as is basis without warranty of any kind. 1164459665 is maintained by the National Plan & Provider Enumeration System. The contents of Kista Kidwell Hurley PA-C are for informational purposes only.