NPI 1063921955

Kyle Matthew Hillis, CAA

Practitioner Anesthesiologist Assistant Jacksonville, FL

Practice location

Address: 820 Prudential Dr STE 606, Jacksonville, FL 32207-8208
Phone: (904) 398-3356
Mailing address: 5201 Atlantic Blvd Unit 234, Jacksonville, FL 32207-2434

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X

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Registry record

NPI: 1063921955
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2017
Record last updated: 24 Sep 2017

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.