Kin Med, PA
NPI 1861994204 · General Practice Physician · Estero, FL
Kin Med, PA is a General Practice Physician organization in Estero, FL (NPI 1861994204).
Provider details
- NPI number
- 1861994204
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lyette Boucher, President(239) 948-1222
- License
- CH11148
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-03-01
- Last updated
- 2018-03-01
Frequently asked questions
- What is Kin Med, PA's NPI number?
- Kin Med, PA's National Provider Identifier (NPI) is 1861994204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kin Med, PA?
- Kin Med, PA is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Kin Med, PA located?
- Kin Med, PA's practice location on file with NPPES is 19910 S Tamiami Trail Ste C, Estero, FL 33928.
- What is Kin Med, PA's phone number?
- The practice phone number listed in the NPPES registry for Kin Med, PA is (239) 948-1222.
- Who is the authorized official for Kin Med, PA?
- The authorized official listed on Kin Med, PA's NPPES record is Lyette Boucher, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kin Med, PA's NPI active?
- Yes — Kin Med, PA's NPI (1861994204) is active in the NPPES registry as of the last update on 2018-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.