Organization
TIMOTHY C. RUNYON, D.P.M. P.A.
Active
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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