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Individual
LEA ANN KINNEY
Active
Individual
LEA ANN KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11010345
FL
363L00000X
Nurse Practitioner
3002296
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000500936
ANTHEM - NCMA
—
01
—
082635
SIHO - NCMA
—
01
—
2804759000
PAD - NCMA
—
01
—
50013502
PASSPORT - NCMA
—
05
—
78001971
—
KY
Enumeration date
06/02/2006
Last updated
09/21/2021
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