Organization Active NPI

Kinder Clinic, P.a.

  • Primary Care Clinic/Center
  • Winter Haven, FL
National Provider Identifier
1376784470
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME0053582 Issued in FL
Legal business name
KINDER CLINIC, P.A.
Practice address
435 2ND St NE
Winter Haven, FL 33881-4103
Phone
(863) 299-4567
Fax
(863) 297-9750
NPI assigned
Mar 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Dr. Josef S Kleine, MD
Title
President
Phone
(863) 299-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME0053582 FL Primary

Addresses

Primary practice location

435 2ND St NE
Winter Haven, FL 33881-4103

Mailing address

435 2ND St NE
Winter Haven, FL 33881-4103
Phone (863) 299-4567

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1376784470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 2ND ST NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814103",
            "telephone_number": "863-299-4567",
            "fax_number": "863-297-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 2ND ST NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814103",
            "telephone_number": "863-299-4567",
            "fax_number": "863-297-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDER CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "KLEINE",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-299-4567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0053582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.