MR. EUGENE KINNALY P.A.
NPI 1457323834
Physician Assistant - Medical in St Augustine, FL

Active since February 01, 2006PECOS Enrolled
100 ARRICOLA AVE, ST AUGUSTINE, FL 32080(904) 825-4701 Get Directions Write a Review

NPPES record last updated: October 24, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Eugene Kinnaly P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EUGENE KINNALY P.A. (NPI 1457323834) is an individual medical provider in St Augustine, Florida, licensed in Florida (PA2353) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457323834
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. EUGENE KINNALYCredential: P.A.
Location Address100 ARRICOLA AVESt Augustine, FL 32080-4515
Mailing Address3114 Haley Pointe RdSt Augustine, FL 32084-3081 · (904) 824-7794
Sole ProprietorYes
Enumeration DateFebruary 1, 2006
Last NPPES UpdateOctober 24, 2009
NPI 1457323834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA2353
100 ARRICOLA AVE, St Augustine, FL 32080

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Eugene Kinnaly P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Geriatric Medicine)
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
Family Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
Internal Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
Internal Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
Clinic/Center (Primary Care)
100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
Clinic/Center (Primary Care)
100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
Nurse Practitioner (Family)
100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
Nurse Practitioner (Family)
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eugene Kinnaly's NPI number?

The NPI number for Eugene Kinnaly is 1457323834. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Eugene Kinnaly located?

Eugene Kinnaly practices at 100 Arricola Ave, St Augustine, FL 32080. The listed phone number is (904) 825-4701.

What is Eugene Kinnaly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Eugene Kinnaly enrolled in Medicare?

Yes. Eugene Kinnaly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eugene Kinnaly was last updated on October 24, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.