MR. Kyle J Higginson, AG-ACNP-BC

NPI #1093387730 in Logan, Utah

Provider Information

NPI Number: 1093387730
Entity Type: Individual
Name: MR. Kyle J Higginson, AG-ACNP-BC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse Practitioner
Credential: AG-ACNP-BC
Enumeration Date: Jul 13, 2021
Last Updated: Jul 13, 2021

Practice Location

Address: 939 US-89 #1
City: Logan
State: Utah
ZIP Code: 84321
Phone: (801) 669-3534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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