Physician Assistant
KYLEE BLACK
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1306539440 · enumerated 2023-06-02 · record updated 2023-07-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: KYLEE ALTENDORF
Addresses and phones
- Practice location 9800 S HEALTHPARK DR STE 110, FORT MYERS, FL, 33908-3630 (239) 343-6202 Fax (239) 343-4159 Google Maps Apple Maps OpenStreetMap
- Mailing address 4957 13K ST NW, GARRISON, ND, 58540-9629 (701) 720-9348 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X
- Physician Assistant 363A00000X · Primary · License PA9117571 FL
In this directory
Locations and evidence
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Practice location
FORT MYERS, FL, 339083630
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.