Minnick, Kathleen E
Minnick, Kathleen E is an individual health care provider with primary practice located at 1601 Clint Moore Rd Ste 210 , Boca Raton FL 33487-5716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Minnick, Kathleen E can be contacted via phone (561) 488-1801.Contact Information
Primary practice address
1601 Clint Moore Rd Ste 210
Boca Raton FL 33487-5716
Phone: (561) 488-1801
Fax: (561) 451-1480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME 78137 | Florida |
Profile Details
| NPI number | 1609861202 |
|---|---|
| LBN Legal business name | Minnick, Kathleen E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Nov 9th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609861202 | NPPES |
| Florida | Other | 1092080 | WELLCARE |
| Florida | Other | P971167 | WELLCARE |
| Florida | Other | 46572 | WELLCARE |
| Florida | Other | 8877 | WELLCARE |
| Florida | Other | P1035432 | WELLCARE |
| Florida | Other | 1023956 | WELLCARE |
| Florida | MEDICAID | 256694000 | WELLCARE |
| Florida | Other | 4586865 | WELLCARE |
| Florida | Other | 259940 | WELLCARE |
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