Individual
TIM L KYNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1201 RIVER VALLEY BLVD, LANCASTER, OH 43130-1653
(740) 687-2273
(740) 687-9059
Mailing address
137 WHITTIER DR S, LANCASTER, OH 43130-1445
(740) 654-5712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-001387
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50-001387
STATE LICENSE
OH
Enumeration date
12/21/2006
Last updated
07/08/2007
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