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Individual
JOHN R. KINNISON
Active
Individual
JOHN R. KINNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A82715
CA
208M00000X
Hospitalist Physician
Primary
A82715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306887831
—
CA
Enumeration date
06/08/2006
Last updated
04/27/2020
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