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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | CH11313 (FL) |
| General Practice Physician | 208D00000X | CH11148 |
| Physician Assistant | 363A00000X | P.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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- Collier Boulevard Hma Physician Management LLCGeneral Practice Physician Estero, FL NPI 1710555818
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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.