Kinmon, Kyle J

Kinmon, Kyle J is an individual health care provider with primary practice located at 1601 Clint Moore Rd 130, Boca Raton FL 33487-2768. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Kinmon, Kyle J can be contacted via phone (561) 995-0229.

Contact Information

Primary practice address
1601 Clint Moore Rd 130 Boca Raton FL 33487-2768
Phone: (561) 995-0229
Fax: (561) 989-0775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3007 Florida

Profile Details

NPI number 1023076312
LBN Legal business name Kinmon, Kyle J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Apr 24th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023076312 NPPES
Florida MEDICAID 340310600
Florida Other 65766Y

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