Kinmed, P.a.

NPI #1992206155 in Estero, Florida

Provider Information

NPI Number: 1992206155
Entity Type: Organization
Organization Name: Kinmed, P.a.
Primary Specialty: General Practice
Enumeration Date: Feb 23, 2018
Last Updated: Feb 23, 2018

Practice Location

Address: 19910 S TAMIAMI TRL STE C
City: Estero
State: Florida
ZIP Code: 33928-4140
Phone: (239) 948-1222

Authorized Official

Name: DR. LYETTE BOUCHER, DC
Title: PRESIDENT
Phone: (239) 948-1222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Physician Assistant	363A00000X
General Practice	208D00000X	Primary

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