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Organization
VIDYA P KINI MD PL
Active
Organization
VIDYA P KINI MD PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDYA P KINI MD (OWNER)
(239) 274-5464
Entity
Organization
Contact information
Practice address
35 BARKLEY CIR, SUITE 1, FORT MYERS, FL 33907-7601
(239) 274-5464
Mailing address
35 BARKLEY CIR, SUITE 1, FORT MYERS, FL 33907-7601
(239) 274-5464
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME56122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091100
—
FL
01
—
3720007001
CIGNA
FL
01
—
4122518
AETNA
FL
Enumeration date
12/16/2008
Last updated
04/12/2013
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