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General NPI Number Information
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NPI Number | 1629049408
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Entity Type | Individual
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Provider Name | KINLEY WAYNE HOWARD DPM, MD, CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8550 SCENIC HWY APT G
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City | PENSACOLA
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State | FL
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Zip | 32514-7921
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Country | US
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Telephone | 850-912-6559
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Fax |
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Provider Business Mailing Address
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Address Line | 8550 SCENIC HWY APT G
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City | PENSACOLA
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State | FL
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Zip | 32514-7921
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Country | US
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Telephone | 850-912-6559
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO2112
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP2539562
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP2539562
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License Number State | FL
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