MEDICARE: JUSTINE KINSLER REGISTERED NURSE

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	163W00000X	Registered Nurse	9283388	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518262948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTINE KINSLER REGISTERED NURSE

Provider Business Mailing Address
First Line	:	2208 W FORT KING ST
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-1905
Country	:	US
Telephone Number	:	352-624-9297
Fax Number	:

Provider Business Practice Location Address
First Line	:	2208 W FORT KING ST
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-1905
Country	:	US
Telephone Number	:	352-624-9297
Fax Number	:

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

Provider Enumeration Date	:	01/16/2011
Last Update Date	:	01/16/2011

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