Organization
INSTITUTE OF MEDICAL EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINLEY WAYNE HOWARD DPM, CRNA (PRESIDENT)
(850) 892-4248
Entity
Organization
Contact information
Practice address
101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL 32435
(850) 892-4248
Mailing address
PO BOX 1262, DEFUNIAK SPRINGS, FL 32435-1262
(850) 892-4248
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2112
FL
367500000X
Certified Registered Nurse Anesthetist
ARNP2539562
FL
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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