Kiskeya Health Network LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KISKEYA HEALTH NETWORK LLC

Practice address

126 N Flagler Ave
Pompano Beach, FL 33060-6635

Phone

(954) 942-7500

Fax

(954) 942-7795

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yanique Duval, M.D

Title

President

Phone

(561) 687-1304

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1457550675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N FLAGLER AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606635",
            "telephone_number": "954-942-7500",
            "fax_number": "954-942-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N FLAGLER AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606635",
            "telephone_number": "954-942-7500",
            "fax_number": "954-942-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISKEYA HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "DUVAL",
        "authorized_official_first_name": "YANIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-687-1304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann M Kinney, RPH
• Caryl Kipp, PA
• Dorie Lynn Kirchoff, P.T.A.
• Briana Kish
• Kimberly Kay Kish, PT
• Lindsey Kiskinis
• Heather Kitsis, MS ED
• Diane Casey Klahn, OTR
• Alexandra Klein, M.S. CCC-SLP
• Chasity K Klein

• Primary Care Clinic/Center in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.