Kyle Matthew Johnston PA-C

NPI 1134348535 - Physician Assistant - 363AM0700X

NPI Details
NPI 1134348535
Gender Male
Enumeration Date 04/24/2007
Last Updated 12/04/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
5955 ZEAMER AVE
ELMENDORF AFB AK, 99506-3702, US
Phone (615) 337-8784
Fax
Business Location
3407 UPLAND DR
ANCHORAGE AK, 99504-4071, US
Phone (615) 337-8784
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State
License Number 1082696
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According to our database, Mr. Kyle Matthew Johnston PA-C NPI is 1134348535, taxonomy code is 363AM0700X and license number is 1082696, license state is located at . Kyle Matthew Johnston PA-C physically located at 5955 Zeamer Ave, Elmendorf Afb AK, 99506-3702. NPI Number Kyle Matthew Johnston PA-C has the Individual type.

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1134348535 NPI number is provided on an as is basis without warranty of any kind. 1134348535 is maintained by the National Plan & Provider Enumeration System. The contents of Kyle Matthew Johnston PA-C are for informational purposes only.