Individual
KIMBERLY ANN KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8081 INNOVATION PARK DR STE 301, FAIRFAX, VA 22031-4867
(571) 472-6431
(571) 665-6826
Mailing address
11887 AVEDON DR, ZIONSVILLE, IN 46077-6201
(765) 860-2839
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024183881
VA
363LF0000X
Family Nurse Practitioner
28121186A
IN
Other
Enumeration date
01/13/2021
Last updated
05/27/2022
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