Individual
VIDYA P KINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3033 WINKLER AVE UNIT 100, FORT MYERS, FL 33916-9523
(239) 277-7070
(239) 277-7071
Mailing address
1565 MATTHEW DR 2, FORT MYERS, FL 33907-1734
(239) 274-5464
(239) 275-5464
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME56122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091100
—
FL
Enumeration date
09/15/2005
Last updated
05/22/2023
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