Eugene Kinnaly, P.A.

Medical Physician Assistant · St Augustine, FL

Individual Active NPI

NPI number 1457323834

Practice location

100 Arricola Ave
St Augustine, FL 32080-4515
Phone
(904) 825-4701

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NPI record

NPI
1457323834
Entity type
Individual (Type 1)
Enumeration date
February 1, 2006
Last updated
October 24, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Medical Physician Assistant Primary 363AM0700X PA2353 FL

Mailing address

3114 Haley Pointe Rd
St Augustine, FL 32084-3081
Phone
(904) 824-7794

About Eugene Kinnaly

Eugene Kinnaly, P.A. is a healthcare provider registered in the NPI registry with the primary taxonomy Medical Physician Assistant (code 363AM0700X). The practice location is 100 Arricola Ave, St Augustine, FL 32080-4515. The NPI number 1457323834 was assigned on February 1, 2006 and the record was last updated on October 24, 2009.

Eugene Kinnaly lists a license in the registry: #PA2353 (FL) for Medical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eugene Kinnaly, P.A.?

The NPI number is 1457323834.

What is the phone number of Eugene Kinnaly?

The phone number listed for the practice location is (904) 825-4701.

Where is Eugene Kinnaly located?

100 Arricola Ave, St Augustine, FL 32080-4515.

What is the taxonomy code for Eugene Kinnaly?

The primary taxonomy code is 363AM0700X – Medical Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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