Individual
TIM L KYNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1033 2ND AVE, MONTE VISTA, CO 81144-1737
(719) 852-8827
Mailing address
1033 2ND AVE, MONTE VISTA, CO 81144-1737
(719) 852-8827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-001387
OH
363A00000X
Physician Assistant
Primary
PA.0002767
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50-001387
STATE LICENSE
OH
05
—
9000180888
—
CO
Enumeration date
12/21/2006
Last updated
06/12/2026
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