Individual
DR. KYLE J KINMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1601 CLINT MOORE RD, 130, BOCA RATON, FL 33487-2768
(561) 995-0229
(561) 989-0775
Mailing address
1601 CLINT MOORE RD, 130, BOCA RATON, FL 33487-5714
(561) 995-0229
(561) 989-0775
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3007
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340310600
—
FL
01
—
65766Y
MEDICARE NUMBER
FL
Enumeration date
05/03/2006
Last updated
04/24/2014
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