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NPI Code Detail

MEDICARE: DANIEL KINSEY

MEDICARE: DANIEL KINSEY
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
1106S00000XBehavior Technician

Other Identifiers

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

General Provider Information

NPI Number : 1578162020
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL KINSEY
Provider Business Mailing Address
First Line : 1731 SW 66TH DR
Second Line :
City : GAINESVILLE
State : FL
Zip : 32607-5369
Country : US
Telephone Number :
Fax Number : 352-727-7935
Provider Business Practice Location Address
First Line : 3601 SW 2ND AVE STE U
Second Line :
City : GAINESVILLE
State : FL
Zip : 32607-2802
Country : US
Telephone Number : 561-809-5074
Fax Number : 352-727-7935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2020
Last Update Date : 10/25/2020

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Directions to “ DANIEL KINSEY ” Practice Location

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