Provider Demographics
NPI:1386794253
Name:BINKLEY, KATHRYN ABACO (APRN)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:ABACO
Last Name:BINKLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 35TH LN
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-6596
Mailing Address - Country:US
Mailing Address - Phone:772-567-5551
Mailing Address - Fax:772-978-5629
Practice Address - Street 1:1110 35TH LN FL 1
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6514
Practice Address - Country:US
Practice Address - Phone:772-567-5551
Practice Address - Fax:772-978-5629
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9185785363LF0000X
FLARNP9185785363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY02CROtherBCBS
FL001596100Medicaid
FLAJ704YMedicare PIN