KINMED P.A. NPI 1992206155

NPI Information

  • NPI: 1992206155
  • Provider Name: KINMED, P.A.
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 19910 S TAMIAMI TRL STE C
    ESTERO, FL
    ZIP 33928
  • Phone: (239) 948-1222

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NPI Details

KINMED, P.A. is a general practice in Estero, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee KINMED, P.A. NPI is 1992206155. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19910 S TAMIAMI TRL STE C
ESTERO, FL
ZIP 33928-140
Phone: (239) 948-1222
Fax: (239) 948-1220

The provider's authorized official is Lyette Boucher .
The authorized official title is President and has the following contact phone number (239) 948-1222.

The enumeration date for this NPI number is 2/23/2018 and was last updated on 2/23/2018.

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
1111N00000XChiropractorFLORIDANo
2207LP2900XAnesthesiologyPain MedicineFLORIDANo
3208D00000XGeneral PracticeYes
4363A00000XPhysician AssistantFLORIDANo

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: 11/21/2025

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