Kin Med, Pa

Specialty details in registry · Estero, FL

Call (239) 948-1222 Directions

At a glance

19910 S Tamiami Trail Ste C, Estero, FL 33928

NPPES record updated Mar 1, 2018. Public records can lag behind changes at a practice.

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Practice location

19910 S Tamiami Trail Ste C
Estero, FL 33928

Professional details: NPI, taxonomy & registry record

NPI1861994204

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 208D00000X
Enumeration date: Mar 1, 2018
Record updated: Mar 1, 2018

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

208D00000X · Primary

License reported: CH11313 FL

Specialty details in registry

208D00000X

License reported: CH11148

Physician Assistant

363A00000X

License reported: P.A.9104809 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

19910 S Tamiami Trail Ste C
Estero, FL 33928

Phone: (239) 948-1222
Fax: (239) 948-1221

Mailing address

19910 S. TAMIAMI TRAIL STE C

ESTERO, FL 33928

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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