Individual provider · Type 1 NPI

Kyle Andrew Busby, PHYSICIAN ASSISTANT

Military Health Care Provider · Fort Bliss, TX

NPI number 1952863250 Active

Practice location

11335 Ssg Sims St
Fort Bliss, TX 79918

Mailing address

1664 Forgan Way
El Paso, TX 79911-3031

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1952863250

Kyle Andrew Busby, PHYSICIAN ASSISTANT's National Provider Identifier is 1952863250, issued on Apr 4, 2019. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Bliss, TX. The record was last updated on Apr 4, 2019.