Kini, Vidya P

Kini, Vidya P is an sole proprietor health care provider with primary practice located at 3033 Winkler Ave Unit 100 , Fort Myers FL 33916-9523. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Kini, Vidya P can be contacted via phone (239) 277-7070.

Contact Information

Primary practice address
3033 Winkler Ave Unit 100 Fort Myers FL 33916-9523
Fax: (239) 277-7071
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME56122 Florida

Profile Details

NPI number 1538154547
LBN Legal business name Kini, Vidya P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2005
Last updated May 22nd, 2023 - about 2 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538154547 NPPES
Florida MEDICAID 036091100

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