Kielle Medical Limited Liability Company

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

KIELLE MEDICAL LIMITED LIABILITY COMPANY

Practice address

5988 Duckweed Rd
Lake Worth, FL 33449-5810

Phone

(561) 767-0903

NPI assigned

Feb 26, 2020

Organization subpart

No

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

Authorized official

Name

Kitonga Kiminyo, MDNPI 1649373101

Title

Employee

Phone

(561) 767-0903

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kitonga Peter Kiminyo, MD

  • Infectious Disease Physician
  • Boynton Beach, FL
  • NPI 1649373101
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1366076515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5988 DUCKWEED RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495810",
            "telephone_number": "561-767-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5988 DUCKWEED RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495810",
            "telephone_number": "561-767-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIELLE MEDICAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "KIMINYO",
        "authorized_official_first_name": "KITONGA",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "561-767-0903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Khan
• Diana Khanna
• Kid'S Time Pediatric Occupational Therapy
• Kids at Work Occupational Therapy, Inc.
• Kidzvil Pediatric Dentistry PLLC
• Justin Kilpatrick, MASSAGE THERAPIST
• David H Kiner, DO
• Courtland U King, RBT
• Cristina King
• Ashley Lynn Kistler, DPT

• Infectious Disease Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.