Provider Demographics
NPI:1043048945
Name:FRANCIS, KYLE LANE (PA-C)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:LANE
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12414 SPIELBERG
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-2758
Mailing Address - Country:US
Mailing Address - Phone:405-371-9193
Mailing Address - Fax:
Practice Address - Street 1:3011 W LOOP 1604 N
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-3901
Practice Address - Country:US
Practice Address - Phone:844-863-6797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant