Organization Active NPI

Kybaes LLC

  • General Practice Physician
  • Boynton Beach, FL
National Provider Identifier
1619720257
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
KYBAES LLC
Practice address
4805 Purdue Dr
Boynton Beach, FL 33436-7721
Phone
(561) 729-9359
NPI assigned
Apr 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Kimberly Harris, APRN
Title
Aprn
Phone
(561) 729-9359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4805 Purdue Dr
Boynton Beach, FL 33436-7721

Mailing address

PO Box 3331
Boynton Beach, FL 33424-3331
Phone (561) 729-9359

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1619720257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3331",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334243331",
            "telephone_number": "561-729-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 PURDUE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367721",
            "telephone_number": "561-729-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYBAES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "561-729-9359",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.