Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tyson Rand Kinnick, PBTASCP, PHD, PA-C

Individual provider Physician Assistant · NPI 1881019925

Dr. Tyson Rand Kinnick, PBTASCP, PHD, PA-C is a Physician Assistant in Alamosa, Colorado. Qualified in 2013, 13 years ago. Licensed in Colorado and Iowa.

Years since qualifying
13
Licensed in
CO, IA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

128 Market St
Alamosa, CO 81101-2290
Phone: (719) 587-1001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0008078 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 002413 (IA)

Record details

NPI number1881019925
Entity typeIndividual (Type 1)
GenderMale
Credentials PBTASCP , PHD , PA-C
Sole proprietorNo
NPI enumeratedFebruary 26, 2014
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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