Provider Demographics
NPI:1669531851
Name:KINPEL MEDICAL, PC
Entity type:Organization
Organization Name:KINPEL MEDICAL, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AFOLABI
Authorized Official - Middle Name:O DAVID
Authorized Official - Last Name:AKINPELU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-374-2225
Mailing Address - Street 1:17202 RIVA CT
Mailing Address - Street 2:
Mailing Address - City:ACCOKEEK
Mailing Address - State:MD
Mailing Address - Zip Code:20607-3435
Mailing Address - Country:US
Mailing Address - Phone:301-374-2225
Mailing Address - Fax:301-632-6990
Practice Address - Street 1:17202 RIVA CT
Practice Address - Street 2:
Practice Address - City:ACCOKEEK
Practice Address - State:MD
Practice Address - Zip Code:20607-3435
Practice Address - Country:US
Practice Address - Phone:301-374-2225
Practice Address - Fax:301-632-6990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2014-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058109207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD382PMedicare PIN