NPI 1265192637

Kyle Luben, PAC

Practitioner Physician Assistant Fpo, AP

Practice location

Address: 6905 Harris Ave, McBh, Fpo, AP 96734
Phone: (808) 257-3365
Mailing address: 141 Mayfair St, Oceanside, CA 92058-1447

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1265192637
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Dec 2021
Record last updated: 16 Dec 2024

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.