Individual
MR. KYLE J HIGGINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AG-ACNP-BC
Contact information
Practice address
939 US-89 #1, LOGAN, UT 84321
(801) 669-3534
Mailing address
1288 N CEDAR BLVD UNIT 26, CEDAR CITY, UT 84721-8621
(801) 669-3534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8886159-4405
UT
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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