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Kin Med, PA

General Practice Physician in Estero, FL · enumerated 2018 · authorized official Lyette Boucher, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861994204

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Registry record

Entity type Organization (Type 2)
Legal business name Kin Med, PA
Practice address 19910 S Tamiami Trail Ste C, Estero, FL, 33928
Fax (239) 948-1221
Enumeration date Mar 1, 2018
Last updated in NPPES Mar 1, 2018

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License CH11313 (FL) Primary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License CH11148 Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License P.A.9104809 (FL) Secondary

Authorized official

Name Lyette Boucher
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kin Med, PA?
The NPI for Kin Med, PA is 1861994204, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kin Med, PA?
NPPES lists Lyette Boucher (President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-01.