Individual
JOYCE KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 UNITY RD, CROSSETT, AR 71635-9443
(870) 538-5200
(870) 364-3636
Mailing address
P O BOX 111, DERMOTT, AR 71638
(870) 538-5200
(870) 364-3636
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
C6050
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50734
BLUE CROSS BLUE SHIELD
AR
Enumeration date
03/12/2007
Last updated
07/08/2007
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