Kyle Erick Johnson P.A.

NPI 1043278005 - Physician Assistant - 363AM0700X

NPI Details
NPI 1043278005
Gender Male
Enumeration Date 05/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2929 S GARNETT RD
C/O MEDCENTER
TULSA OK, 74129-5101, US
Phone (918) 665-1520
Fax (405) 749-4561
Business Location
PO BOX 22063
DEPT 0289
TULSA OK, 74121-2063, US
Phone (405) 751-4664
Fax (405) 749-4561
Toxanomy
Taxonomy Code 363AM0700X
License State Oklahoma
License Number 1250
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According to our database, Kyle Erick Johnson P.A. NPI is 1043278005, taxonomy code is 363AM0700X and license number is 1250, license state is located at Oklahoma. Kyle Erick Johnson P.A. physically located at 2929 S Garnett Rd, Tulsa OK, 74129-5101. NPI Number Kyle Erick Johnson P.A. has the Individual type.

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1043278005 NPI number is provided on an as is basis without warranty of any kind. 1043278005 is maintained by the National Plan & Provider Enumeration System. The contents of Kyle Erick Johnson P.A. are for informational purposes only.