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NPI Code Detail

MEDICARE: KIRAN KENIYA

MEDICARE: KIRAN KENIYA
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
1183500000XPharmacistPS40882FL

General Provider Information

NPI Number : 1841569456
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRAN KENIYA
Provider Business Mailing Address
First Line : 1700 N NORMANDY BLVD
Second Line :
City : DELTONA
State : FL
Zip : 32725-4504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 N NORMANDY BLVD
Second Line :
City : DELTONA
State : FL
Zip : 32725-4504
Country : US
Telephone Number : 386-532-4048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2011
Last Update Date : 12/28/2011

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Directions to “ KIRAN KENIYA ” Practice Location

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