Individual
KYLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1414 W FAIR AVE STE 334, MARQUETTE, MI 49855-5407
(906) 225-4500
Mailing address
1414 W FAIR AVE STE 334, MARQUETTE, MI 49855-5407
(906) 225-4500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010252
MI
Other
Enumeration date
02/10/2020
Last updated
08/29/2023
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