Kyle M. Richter P.A.-C.

NPI 1093751703 - Physician Assistant - 363AS0400X

NPI Details
NPI 1093751703
Gender Male
Enumeration Date 06/21/2006
Last Updated 10/10/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
200 NE MOTHER JOSEPH PL
SUITE 110
VANCOUVER WA, 98664-3299, US
Phone (360) 254-6161
Fax (360) 449-1146
Business Location
200 NE MOTHER JOSEPH PL
SUITE 210
VANCOUVER WA, 98664-3299, US
Phone (360) 254-6161
Fax (360) 449-1139
Toxanomy
Taxonomy Code 363AS0400X
License State Washington
License Number PA10004033
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According to our database, Kyle M. Richter P.A.-C. NPI is 1093751703, taxonomy code is 363AS0400X and license number is PA10004033, license state is located at Washington. Kyle M. Richter P.A.-C. physically located at 200 Ne Mother Joseph Pl, Vancouver WA, 98664-3299. NPI Number Kyle M. Richter P.A.-C. has the Individual type.

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1093751703 NPI number is provided on an as is basis without warranty of any kind. 1093751703 is maintained by the National Plan & Provider Enumeration System. The contents of Kyle M. Richter P.A.-C. are for informational purposes only.