| Dr David H Kiner Do Pa | |
|
4801 S Congress Ave Suite 304 Lake Worth FL 33461-4746 | |
| (561) 964-9300 | |
| (561) 964-5835 |
| Full Name | Dr David H Kiner Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4801 S Congress Ave, Lake Worth, Florida |
| Authorized Official Name and Position | David H Kiner (OWNER) |
| Authorized Official Contact | 5619649300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David H Kiner Do Pa 4801 S Congress Ave Suite 304 Lake Worth FL 33461-4746 Ph: (561) 964-9300 | Dr David H Kiner Do Pa 4801 S Congress Ave Suite 304 Lake Worth FL 33461-4746 Ph: (561) 964-9300 |
| NPI Number | 1790095693 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 10/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790095693 | NPI | - | NPPES |
| 054519800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS 2145 (Florida) | Primary |
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