Organization Active NPI

Dr David H Kiner DO PA

  • Internal Medicine Physician
  • Lake Worth, FL
National Provider Identifier
1790095693
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS 2145 Issued in FL
Legal business name
DR DAVID H KINER DO PA
Practice address
4801 S Congress Ave
Suite 304
Lake Worth, FL 33461-4746
Phone
(561) 964-9300
Fax
(561) 964-5835
NPI assigned
Oct 14, 2010
Last updated
Oct 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Dr. David H Kiner, DONPI 1962461640
Title
Owner
Phone
(561) 964-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS 2145 FL Primary

Addresses

Primary practice location

4801 S Congress Ave
Suite 304
Lake Worth, FL 33461-4746

Mailing address

4801 S Congress Ave
Suite 304
Lake Worth, FL 33461-4746
Phone (561) 964-9300

National Provider Directory

National Provider Directory

Locations

3472 Forest Hill Blvd
Ste 2
West Palm Beach, FL 33406
Phone (561) 429-2196

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": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1790095693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S CONGRESS AVE",
            "address_2": "SUITE 304",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614746",
            "telephone_number": "561-964-9300",
            "fax_number": "561-964-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S CONGRESS AVE",
            "address_2": "SUITE 304",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614746",
            "telephone_number": "561-964-9300",
            "fax_number": "561-964-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DAVID H KINER DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "KINER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-964-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS 2145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.