NPI 1003254228

Kyle Hollingsworth, PACATC

Practitioner Physician Assistant Jacksonville, FL

Practice location

Address: 710 Lomax St, Jacksonville, FL 32204-4015
Phone: (904) 355-6583
Mailing address: 13582 Capistrano Dr S, Jacksonville, FL 32224-3078

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Florida →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL3527 (FL)

Other Specialist/Technologist providers in Florida →

Registry record

NPI: 1003254228
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2013
Record last updated: 19 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.