MEDICARE: DR. DONNA KINI-BOWEN AP, DOM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP 2140	FL

General Provider Information

NPI Number	:	1245227164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA KINI-BOWEN AP, DOM

Provider Business Mailing Address
First Line	:	1313 ENSENADA DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-8310
Country	:	US
Telephone Number	:	407-375-5872
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 TEMPLE DR
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-1371
Country	:	US
Telephone Number	:	407-375-5872
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	07/21/2022

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