Organization · Type 2 NPI

Certified Foot & Ankle Specialists

Non-Pharmacy Dispensing Site · Vero Beach, FL

NPI number 1497406508 Active

Practice location

1285 36th St Ste 203
Vero Beach, FL 32960-6588

Call (772) 567-0111 Map

Fax (772) 257-6521

Mailing address

PO Box 746232
Atlanta, GA 30374-6232

Specialties and licenses

Taxonomy	Code	License
Foot & Ankle Surgery Podiatrist	213ES0103X	None listed
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

2 other providers at this address

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NPI record

NPI: 1497406508
Entity type: Organization (Type 2)
Issued: Jan 11, 2022
Last updated: Oct 9, 2024
Status: Active

Other names

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Multi-Specialty Physician Specialists · doing business as
Multi-Specialty Physician Specialists · doing business as

Authorized official

Kyle J Kinmon
President/dpm
(561) 995-0229

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497406508

Certified Foot & Ankle Specialists's National Provider Identifier is 1497406508, issued on Jan 11, 2022. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Vero Beach, FL. The record was last updated on Oct 9, 2024.