RYAN KILLPACK, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1114405396
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | No | - |
| Physician Assistant - Medical | 363AM0700X | Yes | - |
Frequently Asked Questions
NPI 1114405396 is the National Provider Identifier for RYAN KILLPACK, PA-C, a Physician Assistant - Medical provider located in Blackfoot, ID. This NPI was enumerated on July 31, 2018.
RYAN KILLPACK, PA-C practices at 98 POPLAR ST, Blackfoot, ID 83221.
Quick Facts
- NPI
- 1114405396
- Type
- Individual
- Enumerated
- Jul 31, 2018
- Last Updated
- Jul 31, 2018
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