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General NPI Number Information
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NPI Number | 1215841556
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Entity Type | Organization
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Legal Business Name | JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC.
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 4550 COLONIAL BLVD
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City | FORT MYERS
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State | FL
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Zip | 33966-1017
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Country | US
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Telephone | 239-931-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 501 6TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4630
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT
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Name | KELLY KINSLER
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Credential |
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Telephone | 727-767-3407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State | NULL
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Taxonomy #5
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number |
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License Number State | NULL
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