Organization · Type 2 NPI

Kin Med, PA

General Practice Physician · Estero, FL

NPI number 1861994204 Active

Practice location

19910 S Tamiami Trail Ste C
Estero, FL 33928

Fax (239) 948-1221

Mailing address

19910 S. Tamiami Trail Ste C
Estero, FL 33928

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XCH11313 (FL)
General Practice Physician 208D00000XCH11148
Physician Assistant 363A00000XP.A.9104809 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1861994204

Kin Med, PA's National Provider Identifier is 1861994204, issued on Mar 1, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Estero, FL. The record was last updated on Mar 1, 2018.