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Individual

MR. KEVIN ROBERT FISCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
113 LIEMANIS AVE, 16TH MDG, HURLBURT FIELD, FL 32544
(850) 881-5152
Mailing address
2022 EAGLE LN, NAVARRE, FL 32566-8376
(850) 939-8295
(850) 881-5145

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
06/26/2006
Last updated
10/22/2019
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