DR. KILE WOODROW KINNEY DPM NPI 1417008467

NPI Information

NPI: 1417008467
Provider Name: DR. KILE WOODROW KINNEY, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

Address:
1515 LANEY WALKER BLVD
AUGUSTA, GA
ZIP 30904
Phone: (706) 724-0586
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DR. Kile Woodrow Kinney, DPM is a primary podiatric medicine podiatrist in Augusta, GA. DR. Kile Woodrow Kinney, DPM NPI is 1417008467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1515 LANEY WALKER BLVD
AUGUSTA, GA
ZIP 30904-827
Phone: (706) 724-0586
Fax: (706) 724-4468

The enumeration date for this NPI number is 1/16/2007 and was last updated on 6/25/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ER0200X	Podiatrist	Radiology	GA447	GEORGIA	No
2	213ES0000X	Podiatrist	Sports Medicine	GA447	GEORGIA	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	GA447	GEORGIA	No
4	213EP1101X	Podiatrist	Primary Podiatric Medicine	GA447	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000167978B	MEDICAID	GEORGIA
2	1196250004	MEDICARE NSC
3	480021300	MEDICARE PIN	GEORGIA
4	48SCBTK	MEDICARE PIN	GEORGIA
5	GA447	OTHER	GEORGIA	STATE LICENSE NUMBER
6	T97692	MEDICARE UPIN	GEORGIA
7	616548	OTHER		BLUECROSS/BLUESHIELD

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

NPI Synchronization or Removal

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