Individual provider · Type 1 NPI

Kenneth Allen Garcia, PA-C

Surgical Physician Assistant · Ogden, UT

NPI number 1154413235 Active

Practice location

2240 Adams Ave
Ogden, UT 84401-1511

Fax (801) 394-4609

Mailing address

1706 E 14th St
Pueblo, CO 81001-2848

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5934948-1206 (UT)

Surgical Physician Assistant: Definition to come...

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About NPI 1154413235

Kenneth Allen Garcia, PA-C's National Provider Identifier is 1154413235, issued on Sep 28, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Ogden, UT. The record was last updated on Jul 8, 2007.