Dr. Shaun Kink
Foot and Ankle Orthopaedic Surgeon
1111 Trinity Ln Ste 111
Bloomington
, Illinois 61704-8112
Dr. Shaun Kink
Foot and Ankle Orthopaedic Surgeon
1111 Trinity Ln Ste 111
Bloomington
, Illinois 61704-8112
(309) 663-5711
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About
Features
Specialties
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Shaun Kink
- 1111 Trinity Ln Ste 111
- Bloomington, IL
- Zip : 61704-8112
- Fax : (309) 663-5711
- Phone : (309) 663-6461
Second Address
- Dr. Shaun Kink
- 1111 Trinity Ln Ste 111
- Bloomington, IL
- Zip : 61704-8112
- Fax : (309) 663-5711
- Phone : (309) 663-6461
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 036141813 | IL |
National Provider Identifier
| NPI | 1801181920 |
|---|---|
| Provider Name | Dr. Shaun Kink |
| First Address | Bloomington, IL 61704-8112 |
| Second Address | Bloomington, IL 61704-8112 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2011 |
| Last Update Date | 16/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.