Kiminyo, Kitonga Peter
Kiminyo, Kitonga Peter is an individual health care provider with primary practice located at 2300 South Congress Ave Ste 100 , Boynton Beach FL 33426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Kiminyo, Kitonga Peter can be contacted via phone (561) 735-7531.Contact Information
Primary practice address
2300 South Congress Ave Ste 100
Boynton Beach FL 33426
Phone: (561) 735-7531
Fax: (561) 742-8250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME0086064 | Florida |
Profile Details
| NPI number | 1649373101 |
|---|---|
| LBN Legal business name | Kiminyo, Kitonga Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jan 6th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649373101 | NPPES |
| Florida | Other | 7779541 | AETNA |
| Florida | Other | 78615 | AETNA |
| Florida | MEDICAID | 119744400 | AETNA |
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