Individual
PETER KINKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 LIMESTONE DR, SUITE B, WILLIAMSVILLE, NY 14221-7178
(716) 632-9399
(716) 632-7742
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
144507
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000525431011
BLUE SHIELD OF WESTERN NY
—
01
—
000525431012
BLUE SHIELD OF WESTERN NY
—
05
—
00903993
—
NY
01
—
050701000002
FIDELIS
—
01
—
1525351W
WORKERS COMPENSATION
NY
01
—
1605752
INDEPENDENT HEALTH
—
Enumeration date
04/10/2006
Last updated
10/24/2012
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