KEVIN MICHAEL HITES

GULFPORT, MS
NPI1639170723
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MS  PA00945)
Additional Taxonomies363A00000X Physician Assistant
(Licence: AL  PA.255)
363AM0700X Physician Assistant, Medical
(Licence: AL  PA225)
207P00000X Emergency Medicine
(Licence: AL  PA.255)
363AS0400X Physician Assistant, Surgical
(Licence: AL  PA225)
363A00000X Physician Assistant
(Licence: FL  PA9108726)
Enumeration Date2005-08-10
Last Update Date2025-10-01
Business Address
KEVIN MICHAEL HITES PA
15476 DEDEAUX RD STE B
GULFPORT, MS 39503-2637
Phone number: 228-230-2663
Mailing Address
KEVIN MICHAEL HITES PA
6300 E LAKE BLVD STE 301
VANCLEAVE, MS 39565-6771
Phone number: 228-230-2663