Organization
CERTIFIED FOOT & ANKLE SPECIALISTS
Active
Other names
Multi-Specialty Physician Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE J KINMON (PRESIDENT/DPM)
(561) 995-0229
Entity
Organization
Contact information
Practice address
1285 36TH ST STE 203, VERO BEACH, FL 32960-6588
(772) 567-0111
(772) 257-6521
Mailing address
PO BOX 746232, ATLANTA, GA 30374-6232
(754) 702-3359
(561) 288-9045
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
10/09/2024
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