DR. KILE WOODROW KINNEY (NPI# 1417008467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417008467 |
| Entity Type | Individual |
| Full Name | DR. KILE WOODROW KINNEY |
| Credential | DPM |
| Practice Address |
1515 Laney Walker Blvd Augusta GA 30904-5827 |
| Practice Telephone | 7067240586 |
| Practice Fax Number | 7067244468 |
| Mailing Telephone | 7067240586 |
| Mailing Fax Number | 7067244468 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
GA447 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
GA447 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
GA447 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
GA447 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000167978B | 05 | |
| GA | STATE LICENSE NUMBER | GA447 | 01 |
| BLUECROSS/BLUESHIELD | 616548 | 01 |
| Street Address |
1515 LANEY WALKER BLVD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-5827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720139710 | The Foot and Ankle Group PC | Durable Medical Equipment & Medical Supplies | 1515 Laney Walker Blvd, Augusta, GA 30904-5827 | 2007-01-16 |
| 1871026179 | Kirmanj Tahsin Atrushi | Podiatrist | 1515 Laney Walker Blvd, Augusta, GA 30904-5827 | 2017-04-04 |
| 1629413604 | Ian Harold Barker | Podiatrist | 1515 Laney Walker Blvd, Augusta, GA 30904-5827 | 2013-05-06 |
| 1043361074 | Augusta Center for Foot and Ankle Surgery | Podiatrist | 1515 Laney Walker Blvd, Augusta, GA 30904-5827 | 2007-01-16 |
| 1821149782 | Mary L Ottinger | Podiatrist | 1515 Laney Walker Blvd, Augusta, GA 30904-5827 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700911955 | Alan L. Lipman | Podiatrist | 2 Hillcrest St, Augusta, ME 04330-6206 | 2007-02-21 |
| 1881745842 | Kent E Kronowski | Podiatrist | 1519 Laney Walker Blvd, Augusta, GA 30904-5827 | 2007-01-16 |
| 1316167349 | Denmark Foot and Ankle, PC | Podiatrist | 2260 Wrightsboro Rd, Suite 154, Augusta, GA 30904-4764 | 2007-05-01 |
| 1821149782 | Mary L Ottinger | Podiatrist | 1515 Laney Walker Blvd, Augusta, GA 30904-5827 | 2007-01-16 |
| 1003908138 | James Austin Denmark | Podiatrist | 2260 Wrightsboro Rd, Suite 154, Augusta, GA 30904-4764 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033741632 | Serenity Podiatry and Med Spa LLC | Podiatrist | 770 Old Roswell Pl Ste A300, Roswell, GA 30076-1697 | 2020-02-11 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1396088803 | Jae Y Shin | Podiatrist | 506 Osigian Blvd Ste 5, Warner Robins, GA 31088-8985 | 2013-04-03 |
| 1598010720 | Swga Foot & Ankle Center | Podiatrist | 415 E 4th Ave Ste B, Cordele, GA 31015-0614 | 2012-07-13 |
| 1548524937 | Swga Foot & Ankle Center | Podiatrist | 922 E Jefferson St Ste D, Americus, GA 31709-4781 | 2012-06-29 |
| 1952667305 | Agape Foot & Ankle Clinic, LLC | Podiatrist | 3693 Wittenburg Ct, Decatur, GA 30034-5507 | 2012-04-10 |
| 1275780199 | Azuka Ifeyinwa Nwaedozie | Podiatrist | 3364 Medina Dr, Jonesboro, GA 30236-6873 | 2008-08-21 |
| 1386804045 | Howard Foot&leg Specialists,pc. | Podiatrist | 12476 Hopewell Rd, Alpharetta, GA 30004-1347 | 2008-06-16 |
| 1053506162 | Diabetic Foot Care Specialist of Georgia | Podiatrist | 238 Walker St Sw, Unit #12, Atlanta, GA 30313-1266 | 2007-09-11 |
| 1356549141 | Dwayne Lay | Podiatrist | 210 Oakside Ln Ste B, Canton, GA 30114-6417 | 2007-07-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.