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
Phone: (561) 594-1850
Fax: (561) 594-1855
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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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