Individual provider Active NPI

Rae Lynne Poirrier Kinler, MD

  • Surgery Physician
  • Hamden, CT
National Provider Identifier
1093943201
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
52535 Issued in CT
Practice address
2590 Whitney Ave
Unit 2
Hamden, CT 06518-3044
Phone
(225) 806-1184
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 52535 CT Primary

Addresses

Primary practice location

2590 Whitney Ave
Unit 2
Hamden, CT 06518-3044

Mailing address

2590 Whitney Ave
Unit 2
Hamden, CT 06518-3044
Phone (225) 806-1184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52535CTMDSurgery Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1093943201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 WHITNEY AVE",
            "address_2": "UNIT 2",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183044",
            "telephone_number": "225-806-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 WHITNEY AVE",
            "address_2": "UNIT 2",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183044",
            "telephone_number": "225-806-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINLER",
        "first_name": "RAE LYNNE",
        "middle_name": "POIRRIER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "52535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.