Organization
CERTIFIED FOOT & ANKLE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE KINMON MD (OWNER)
(561) 369-2199
Entity
Organization
Contact information
Practice address
7730 BOYNTON BEACH BLVD STE 7, BOYNTON BEACH, FL 33437-6155
(561) 369-2199
Mailing address
7730 BOYNTON BEACH BLVD STE 7, BOYNTON BEACH, FL 33437-6155
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
10/09/2024
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