Individual
KEVIN BRYAN JAMES HUNTINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1784 UINTA WAY UNIT E2, PARK CITY, UT 84098-7685
(435) 604-0160
Mailing address
1784 UINTA WAY UNIT E2, PARK CITY, UT 84098-7685
(435) 604-0160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8464916-1206
UT
363A00000X
Physician Assistant
Primary
8464916-8906
UT
Other
Enumeration date
09/05/2016
Last updated
12/20/2021
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