# BRUCE L KINNEY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073792669
- **Authorized official:** LINDA WILLIAMS (BILLING COORDINATOR)
- **Authorized official phone:** (606) 478-4287

## Contact information

- **Practice address:** 5000 KY ROUTE 321 STE 2127, PRESTONSBURG, KY 41653-9113
- **Practice address phone:** (606) 478-4287
- **Mailing address:** PO BOX 949, PAINTSVILLE, KY 41240-0949
- **Mailing address phone:** (606) 478-4287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2007
- **Last updated:** 10/31/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000384921 | ANTHEM BLUE CROSS | KY |
| 05 | — | 64097256 | — | KY |
| 01 | — | DE8139 | RAILROAD MEDICARE | KY |