Male or Other

Kyle Hollingsworth PA-C, ATC

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Kyle Hollingsworth PA-C, ATC

NPI Number

1003254228

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/10/2013

Specialties

(Taxonomies)

Code

363A00000X
2255A2300X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

AL3527

Contact
Information

Purpose

Mailing
Location

Address

13582 CAPISTRANO DR S
710 LOMAX ST

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32224-3078
32204-4015

Country

US
US

Telephone Number

(813) 486-1430
(904) 355-6583

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

Data last updated by provider on 09/19/2019

Provider Address

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