Individual
AMANDA NICOLE KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 METRO PL N STE 100, DUBLIN, OH 43017-5343
(614) 339-1649
Mailing address
2458 MCZAND BLVD, GROVE CITY, OH 43123-1461
(614) 517-4486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1700358
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
154038
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0026806
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
04/02/2020
Last updated
07/07/2020
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