Individual
MICHAEL DREW KIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P,A.
Contact information
Practice address
1201 MONUMENT RD, SUITE 201B, JACKSONVILLE, FL 32225-7411
(904) 727-5151
(904) 727-3887
Mailing address
PO BOX 61148, JACKSONVILLE, FL 32236-1148
(904) 400-6100
(904) 400-6102
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0003849
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003216700
—
FL
Enumeration date
10/10/2008
Last updated
12/03/2012
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