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VIDYA P KINI MD PL NPI 1336384643


NPI Information

NPI: 1336384643
Provider Name: VIDYA P KINI MD PL
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
35 BARKLEY CIR
SUITE 1
FORT MYERS, FL
ZIP 33907
Phone: (239) 274-5464
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VIDYA P KINI MD PL is a specialist in Fort Myers, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. VIDYA P KINI MD PL NPI is 1336384643. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

35 BARKLEY CIR
SUITE 1
FORT MYERS, FL
ZIP 33907-601
Phone: (239) 274-5464

The provider's authorized official is Vidya P Kini .
The authorized official title is Owner and has the following contact phone number (239) 274-5464.

The enumeration date for this NPI number is 12/16/2008 and was last updated on 4/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME56122FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13720007001OTHERFLORIDACIGNA
208869AMEDICARE PINFLORIDA
3E22643MEDICARE UPINFLORIDA
44122518OTHERFLORIDAAETNA
5036091100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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