Individual provider · Type 1 NPI

Eugene Kinnaly, P.A.

Medical Physician Assistant · St. Augustine, FL

NPI number 1457323834 Active

Practice location

100 Arricola Ave
St. Augustine, FL 32080-4515

Call (904) 825-4701 Map

Mailing address

3114 Haley Pointe Rd
St. Augustine, FL 32084-3081

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA2353 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1457323834

Eugene Kinnaly, P.A.'s National Provider Identifier is 1457323834, issued on Feb 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Augustine, FL. The record was last updated on Oct 24, 2009.