| Kinkel Neurologic Center, Llp | |
|
5 Limestone Dr Suite B Williamsville NY 14221-7178 | |
| (716) 632-9399 | |
| (716) 692-4342 |
| Full Name | Kinkel Neurologic Center, Llp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5 Limestone Dr, Williamsville, New York |
| Authorized Official Name and Position | Peter Kinkel (PRESIDENT) |
| Authorized Official Contact | 7166329399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinkel Neurologic Center, Llp 908 Niagara Falls Blvd Suite 208 North Tonawanda NY 14120-2019 Ph: (716) 692-3302 | Kinkel Neurologic Center, Llp 5 Limestone Dr Suite B Williamsville NY 14221-7178 Ph: (716) 632-9399 |
| NPI Number | 1053340182 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 10/25/2012 |
| Medicare PECOS PAC ID | 5496838294 |
|---|---|
| Medicare Enrollment ID | O20080218000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053340182 | NPI | - | NPPES |
| 02419863 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Peter R Kinkel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831152701 PECOS PAC ID: 0749177830 Enrollment ID: I20040728001624 |
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