Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | L-259469 | MA |
N | 207X00000X | Orthopaedic Surgeon | ME145107 | FL |
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME145107 | FL |
NPI | 1023421971 |
---|---|
Provider Name | Stuart D Kinsella |
First Address | Vero Beach, FL 32960-4800 |
Second Address | Vero Beach, FL 32960-4800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2014 |
Last Update Date | 08/08/2021 |