Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | ME82731 | FL |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME82731 | FL |
NPI | 1427057215 |
---|---|
Provider Name | Linda A Kiley |
First Address | Palm Beach Gardens, FL 33420 |
Second Address | Palm Beach Gardens, FL 33410-4361 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 11/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F64821 | (02) | FL |
P00317724 | RAILROAD MEDICARE (01) | FL |