Male or Other

Mr. Paul M. Kilpatrick P.A.C

Medical Physician Assistant in Belleview, FL(View on Map)

Full Name

Mr. Paul M. Kilpatrick P.A.C

NPI Number

1780620278

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/22/2006

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA2079

Contact
Information

Purpose

Mailing
Location

Address

12301 SE US HIGHWAY 441 STE C
12301 SE US HIGHWAY 441 STE C

City

Belleview
Belleview

State

FL
FL

Postal Code

34420-4578
34420-4578

Country

US
US

Telephone Number

(352) 404-4288
(352) 404-4288

Identifiers

Identifier

099295400

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/02/2024

Provider Address

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Specialty: Medical Physician Assistant (Primary)

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Specialty: Medical Physician Assistant (Primary)