Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25MA10203200 | NJ |
Y | 207X00000X | Orthopaedic Surgeon | ME90952 | FL |
NPI | 1023046521 |
---|---|
Provider Name | Dr. Kingsley R Chin |
First Address | Wilton Manors, FL 33311-1612 |
Second Address | Hollywood, FL 33021-6750 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 13/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H53148 | (02) |