1. Home
  2. Directory
  3. Florida
  4. Estero
  5. General Practice
  6. NPI Profile

KINMED, P.A.
NPI 1992206155
General Practice in Estero, FL

Active since February 23, 2018
19910 S TAMIAMI TRL STE C, ESTERO, FL 33928(239) 948-1222(239) 948-1220 Get Directions Write a Review

NPPES record last updated: February 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kinmed, P.a. NPPES

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

KINMED, P.A. (NPI 1992206155) is a healthcare organization registered as a general practice in Estero, Florida and active in the NPI registry since February 2018. The organization lists Lyette Boucher, President, as its authorized official.

NPPES Registry Identity

NPI1992206155
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameKINMED, P.A.
Location Address19910 S TAMIAMI TRL STE CEstero, FL 33928-4140
Mailing Address19910 S Tamiami Trl Ste CEstero, FL 33928-4140 · (239) 948-1222 · Fax (239) 948-1220
Phone(239) 948-1222
Fax(239) 948-1220
Organization SubpartNo
Authorized OfficialLyette BoucherPresident · (239) 948-1222
Enumeration DateFebruary 23, 2018
✔ NPI 1992206155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedChiropractorTaxonomy 111N00000X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedPhysician AssistantTaxonomy 363A00000X
19910 S TAMIAMI TRL STE C, Estero, FL 33928
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. DAVID C ADAMSON DC
Chiropractor
19910 S TAMIAMI TRL STE C
ESTERO, FL 33928
Lee County (239) 948-1222
SHAHZAIB MIRZA MD MEDICAL PARTNERS PA
Pediatrics
19910 S TAMIAMI TRL STE C
ESTERO, FL 33928
Lee County (929) 228-9657
KHANH KIM HANYZESKI D.O.
Family Medicine
19910 S TAMIAMI TRL STE C
ESTERO, FL 33928
Lee County (239) 498-6912

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 Kinmed, P.A.'s NPI number?

The NPI number for Kinmed, P.A. is 1992206155. It was assigned to this organization in the NPPES registry on February 23, 2018.

Where is Kinmed, P.A. located?

Kinmed, P.A. is located at 19910 S Tamiami Trl Ste C, Estero, FL 33928. The listed phone number is (239) 948-1222.

What is Kinmed, P.A.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Kinmed, P.A. was last updated on February 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.