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Ian Kai

Physician Assistant, Medical in Temple, TX. Individual provider (NPI-1).

NPI number1356882575
StatusActive
Last updated in NPPESJan 25, 2022

Details

NPI
1356882575
Entity type
Individual (NPI-1)
Name
Ian Kai
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 20, 2017
Certification date
Jan 25, 2022
Last updated
Jan 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA11282TXYes
363A00000X Physician Assistant––

Practice location

2401 S 31st St
Temple, TX 76508-0001

Phone 512-999-2916

Mailing address

Po Box 844658
Dallas, TX 75284-4658

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