Minnick, Kathleen Elizabeth

Minnick, Kathleen Elizabeth is an individual health care provider with primary practice located at 11551 Southern Blvd Ste 2 , Royal Palm Beach FL 33411-4254. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Minnick, Kathleen Elizabeth can be contacted via phone (561) 594-1850.

Contact Information

Primary practice address
11551 Southern Blvd Ste 2 Royal Palm Beach FL 33411-4254
Fax: (561) 594-1855
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME 78137 Florida

Profile Details

NPI number 1609861202
LBN Legal business name Minnick, Kathleen Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Nov 11th, 2025 - about last year

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 1609861202 NPPES
Florida Other 4586865 AETNA
Florida Other P971167 AETNA
Florida Other 1023956 AETNA
Florida Other 1092080 AETNA
Florida Other 259940 AETNA
Florida MEDICAID 256694000 AETNA
Florida Other 46572 AETNA
Florida Other 8877 AETNA
Florida Other P1035432 AETNA

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