DR. Tyson Rand Kinnick, PBT(ASCP), PHD, PA-C

NPI #1881019925 in Alamosa, Colorado

Provider Information

NPI Number: 1881019925
Entity Type: Individual
Name: DR. Tyson Rand Kinnick, PBT(ASCP), PHD, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PBT(ASCP), PHD, PA-C
Enumeration Date: Feb 26, 2014
Last Updated: Jan 18, 2024

Practice Location

Address: 128 MARKET ST
City: Alamosa
State: Colorado
ZIP Code: 81101-2290
Phone: (719) 587-1001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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