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Individual
MISS COURTNEY TRICIA KINHOLT
Active
Individual
MISS COURTNEY TRICIA KINHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA62208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40000059957500
—
CA
Enumeration date
04/28/2022
Last updated
05/05/2026
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