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Organization

KIN MEDICAL GROUP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COURTNEY CARLSSON (OPERATIONS ADMINISTRATOR)
(813) 212-5200
Entity
Organization

Contact information

Practice address
601 S HARBOUR ISLAND BLVD STE 109, TAMPA, FL 33602-5927
(813) 212-5200
Mailing address
601 S HARBOUR ISLAND BLVD STE 109, TAMPA, FL 33602-5927

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
06/23/2025
Last updated
03/31/2026
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