Individual provider · Type 1 NPI
Stephen John Kingston Ii, PA-C
Medical Physician Assistant · Romulus, NY
NPI number
1316064124
Active
Practice location
Route 96
Romulus, NY 14541-0400
Mailing address
1730 Penfield Rd, Apt 85
Penfield, NY 14526-2148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 008910 (NY) |
Medical Physician Assistant: Definition to come...
About NPI 1316064124
Stephen John Kingston Ii, PA-C's National Provider Identifier is 1316064124, issued on Mar 25, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Romulus, NY. The record was last updated on Jul 9, 2007.