Individual provider · Type 1 NPI

Mimi Ann Kingery, PA

Medical Physician Assistant · Pensacola, FL

NPI number 1790065035 Active

Practice location

5147 N 9th Ave Ste 311
Pensacola, FL 32504-8770

Call (850) 477-2597 Map

Fax (850) 478-7941

Mailing address

4828 N Davis Hwy
Pensacola, FL 32503-2341

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9106214 (FL)

Medical Physician Assistant: Definition to come...

11 other providers at this address

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About NPI 1790065035

Mimi Ann Kingery, PA's National Provider Identifier is 1790065035, issued on Aug 18, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pensacola, FL. The record was last updated on Apr 11, 2018.