Michael D. Kight P,A.
Medical Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Michael Drew Kight P,A.
NPI Number
1518119361
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/10/2008
Specialties
(Taxonomies)Licenses
State
Maryland
License Number
C0003849
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 61148
1201 MONUMENT RD
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32236-1148
32225-7411
Country
US
US
Telephone Number
(904) 400-6100
(904) 727-5151
Identifiers
Identifier
003216700
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/03/2012
Provider Address
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