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Active NPI 1457323834 Individual Practitioner Male Practitioner

Eugene Kinnaly , PA

Physician Assistant - Medical • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Eugene Kinnaly, PA is a registered healthcare professional specializing in Physician Assistant - Medical in St Augustine, FL. Practice services are available at 100 ARRICOLA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Arricola Ave

St Augustine, FL 320804515

Telephone 9048254701
Associated Practice Facility / Clinic
🏢 V.i.p Md Care Llc Facility NPI 1225456155

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
9 Specialists

Practicing in St Augustine, FL (2836 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License FL PA2353

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
William Bermeo , PA-C

Family Medicine

NPI 1154423267

Physician Assistant (Certified)

NPI 1164916615

Doctor of Medicine (M.D.)

Marshall Poulin , APRN

Nurse Practitioner - Family

NPI 1356206650

Advanced Practice Registered Nurse

Lee Elgin , MSN, CRNP, AGACNP-BC

Nurse Practitioner - Family

NPI 1740796770

Master of Science in Nursing, Certified Registered Nurse Practitioner, Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Roy Hinman , MD PA

Family Medicine

NPI 1760595821

MDPA

Anna Iv , PA

Physician Assistant

NPI 1942535042

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 24, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2009

Registered at 100 ARRICOLA AVE, ST AUGUSTINE, FL 320804515 (Tel: 9048254701)

📍
Updated Business Mailing Address October 24, 2009

Registered at 3114 HALEY POINTE RD, ST AUGUSTINE, FL 320843081 (Tel: 9048247794)

👤
Provider Name / Credentials Updated October 24, 2009

Recorded as EUGENE KINNALY, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2009

Physician Assistant (License #PA2353 in FL)

🟢
Initial NPI Registration & Enumeration February 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457323834
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2006
Last Update: October 24, 2009
Sole Proprietor: Yes

Mailing Address

3114 Haley Pointe Rd

St Augustine, FL 320843081

Phone: 9048247794

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.