Organization
KINNI EYECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINNARI KALIND BAKSHI M.D. (OWNER)
(215) 342-0440
Entity
Organization
Contact information
Practice address
7601 CASTOR AVE, SUITE 204, PHILADELPHIA, PA 19152-4026
(215) 342-0440
(215) 745-3950
Mailing address
7601 CASTOR AVE, SUITE 204, PHILADELPHIA, PA 19152-4026
(215) 342-0440
(215) 745-3950
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MD026149-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091969201
—
PA
Enumeration date
02/26/2007
Last updated
08/22/2020
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