MEDICARE: LINDA A KILEY M.D.

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	207V00000X	Obstetrics & Gynecology Physician	ME82731	FL
2	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	ME82731	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00317724	OTHER	FL	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1427057215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA A KILEY M.D.

Provider Business Mailing Address
First Line	:	P.O. BOX 30625
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33420
Country	:	US
Telephone Number	:	561-701-2841
Fax Number	:	561-627-0193

Provider Business Practice Location Address
First Line	:	3375 BURNS RD STE 204
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4361
Country	:	US
Telephone Number	:	561-701-2841
Fax Number	:	561-627-0193

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	03/11/2019

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Directions to “ LINDA A KILEY M.D.” Practice Location

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