MR. Lon Grant Kirt, PHYSICIAN ASSISTANT

NPI #1477691657 in Ft Carson, Colorado

Provider Information

NPI Number
1477691657
Entity Type
Individual
Name
MR. Lon Grant Kirt, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Feb 1, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1650 COCHRANE CIR
ZIP Code
80913-4603
Phone
(719) 524-3520

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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