Organization
TIMOTHY C. RUNYON, D.P.M. P.A.
Active
Other names
Certified Foot and Ankle Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE J KINMON DPM (OWNER)
(561) 995-0229
Entity
Organization
Contact information
Practice address
669A W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 654-3354
(813) 653-9177
Mailing address
1401 16TH ST N, ST PETERSBURG, FL 33704-4123
(727) 894-0794
(727) 895-1215
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
10/09/2024
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