Individual
MICHAEL G KINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 S PARK DR STE A, BROWNWOOD, TX 76801-5959
(325) 646-6568
(325) 646-9199
Mailing address
109 S PARK DR, BROWNWOOD, TX 76801-5917
(325) 646-6568
(325) 646-9199
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00272
TX
Other
Enumeration date
02/19/2008
Last updated
11/06/2020
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