Provider Demographics
NPI:1962461640
Name:KINER, DAVID H (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:H
Last Name:KINER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4801 S CONGRESS AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-4746
Mailing Address - Country:US
Mailing Address - Phone:561-964-9300
Mailing Address - Fax:561-964-5835
Practice Address - Street 1:4801 S CONGRESS AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-4746
Practice Address - Country:US
Practice Address - Phone:561-964-9300
Practice Address - Fax:561-964-5835
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL0S2145207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD60578Medicare UPIN