Individual
MR. EUGENE KINNALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
100 ARRICOLA AVE, ST AUGUSTINE, FL 32080-4515
(904) 825-4701
Mailing address
3114 HALEY POINTE RD, ST AUGUSTINE, FL 32084-3081
(904) 824-7794
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2353
FL
Other
Enumeration date
02/01/2006
Last updated
10/24/2009
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