Individual
MR. KEVIN LAMONT ECKERSLEY
Active
Individual
MR. KEVIN LAMONT ECKERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13877149-1206
UT
363A00000X
Physician Assistant
13877149-8906
UT
363A00000X
Physician Assistant
PA1083
NV
Other
Enumeration date
11/09/2005
Last updated
07/23/2024
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