# KIMBERLY E KINTZ

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

## Provider details

- **NPI number:** 1467512277
- **Authorized official:** MRS. KIMBERLY E KINTZ ANP (MD)
- **Authorized official phone:** (503) 364-2427

## Contact information

- **Practice address:** 195 COTTAGE ST SE, SALEM, OR 97301-3808
- **Practice address phone:** (503) 364-2427
- **Mailing address:** 7191 RIVER BEND DR NE, SILVERTON, OR 97381-9149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 087000274N3 | OR | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020