Dr. Matthew G. Kinzelman, MD
Family Medicine in Pace, FL. Individual provider (NPI-1).
NPI number1104871979
StatusActive
Last updated in NPPESJun 29, 2010
Details
- NPI
- 1104871979
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew G. Kinzelman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 23, 2006
- Last updated
- Jun 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME40346 | FL | Yes |
Practice location
3754 Highway 90200
Pace, FL 32571-1020
Phone 850-416-5200 · Fax 850-416-5201
Mailing address
Po Box 2699Pensacola, FL 32513-2699
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