Provider Demographics
NPI:1700180247
Name:KINAL, ADAM NICOLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:NICOLAS
Last Name:KINAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 S COURTENAY PKWY # 775
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-4843
Mailing Address - Country:US
Mailing Address - Phone:321-290-6628
Mailing Address - Fax:
Practice Address - Street 1:137 S COURTENAY PKWY # 775
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-4843
Practice Address - Country:US
Practice Address - Phone:321-290-6628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-25
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME118507208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery