Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle William Martin Mogensen

Individual provider Physician Assistant · NPI 1306419957

Kyle William Martin Mogensen is a Physician Assistant in Joint Base Lewis McChord, Washington. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9040A Jackson Ave
Joint Base Lewis McChord, WA 98431-0001
Phone: (253) 968-1110
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 683 Waianae Ave, Schofield Barracks, HI 96786 — (808) 433-8454
  • 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 — (808) 433-6661

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1306419957
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 21, 2021
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

Other providers in Joint Base Lewis McChord