Individual
JOHN H. KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
88 E MEMORIAL DR, POMEROY, OH 45769-9569
(740) 992-0060
(740) 446-5154
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 441-1934
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-04-6689
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000185220
UNISON MEDICAID
—
01
—
000000477252
ANTHEM BCBS
—
01
—
001714101
MOUNTAIN STATE BCBS
—
05
—
0048314000
—
WV
01
—
0554798
MOLINA MEDICAID
OH
05
—
0554798
—
OH
01
—
310917085030
OH MEDICAID CARESOURCE
OH
01
—
930058712
RR MEDICARE
—
Enumeration date
05/27/2006
Last updated
11/16/2010
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