| Kin Med, PA | |
|
19910 S Tamiami Trail Ste C Estero FL 33928 | |
| (239) 948-1222 | |
| (239) 948-1221 |
| Full Name | Kin Med, PA |
|---|---|
| Speciality | General Practice |
| Location | 19910 S Tamiami Trail Ste C, Estero, Florida |
| Authorized Official Name and Position | Lyette Rose Boucher (PRESIDENT) |
| Authorized Official Contact | 2399481222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kin Med, PA 19910 S. Tamiami Trail Ste C Estero FL 33928 Ph: (239) 948-1222 | Kin Med, PA 19910 S Tamiami Trail Ste C Estero FL 33928 Ph: (239) 948-1222 |
| NPI Number | 1861994204 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 03/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861994204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | CH11313 (Florida) | Primary |
| 208D00000X | General Practice | CH11148 () | Secondary |
| 363A00000X | Physician Assistant | P.A.9104809 (Florida) | Secondary |
Lpg Convenient Care Bonita Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3501 Health Center Blvd Ste 1050, Estero, FL 34135 Phone: 239-468-0260 |
Alliance Healthcare & Wellness,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21401 Corkscrew Village Ln Ste 1, Estero, FL 33928 Phone: 727-309-1412 |
Coastal Physician Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9250 Corkscrew Rd, Suite 3, Estero, FL 33928 Phone: 239-498-2528 |
Bhc Pulmonology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3501 Health Center Blvd Ste 2200, Estero, FL 34135 Phone: 239-343-1105 Fax: 239-343-4259 |
Estero Eyecare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21753 Brixham Run Loop, Estero, FL 33928 Phone: 239-898-8712 |
Restorative Health and Healing Center LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10201 Arcos Ave Ste 201, Estero, FL 33928 Phone: 314-239-0173 Fax: 239-948-0179 |