REN BRADFORD KUYKENDALL PA
NPI 1730195165
Physician Assistant in Tyler, TX

Active since July 31, 2006
700 OLYMPIC PLAZA CIR, STE 510, TYLER, TX 75701(903) 596-3844(903) 596-3843 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ren Bradford Kuykendall Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REN BRADFORD KUYKENDALL PA (NPI 1730195165) is an individual physician assistant in Tyler, Texas, licensed in Texas (PA01442) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1730195165
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameREN BRADFORD KUYKENDALLCredential: PA
Location Address700 OLYMPIC PLAZA CIR, STE 510Tyler, TX 75701-1951
Mailing AddressPo Box 9477Tyler, TX 75711-9477 · (903) 594-2450 · Fax (903) 509-0493
Fax(903) 596-3843
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1730195165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA01442
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

700 OLYMPIC PLAZA CIR, Tyler, TX 75701

Other Identifiers 1

Medicare UPINS13071

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
700 OLYMPIC PLAZA CIR, STE 850
TYLER, TX 75701
Physical Medicine & Rehabilitation (Pain Medicine)
700 OLYMPIC PLAZA CIR
TYLER, TX 75701
Internal Medicine (Gastroenterology)
700 OLYMPIC PLAZA CIR, STE 508
TYLER, TX 75701
Internal Medicine (Gastroenterology)
700 OLYMPIC PLAZA CIR, STE 407
TYLER, TX 75701
Orthopaedic Surgery
700 OLYMPIC PLAZA CIR, SUITE 600
TYLER, TX 75701
Orthopaedic Surgery
700 OLYMPIC PLAZA CIR, STE 600
TYLER, TX 75701
Radiology (Diagnostic Radiology)
700 OLYMPIC PLAZA CIR, STE. 101
TYLER, TX 75701
Psychiatry & Neurology (Neurology)
700 OLYMPIC PLAZA CIR, STE 912
TYLER, TX 75701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730195165, enumerated as an "individual" on July 31, 2006.

The provider is located at 700 OLYMPIC PLAZA CIR STE 510 TYLER, TX 75701 and the phone number is (903) 596-3844.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.