Individual
MS. DANA KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2631 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 855-7439
(812) 855-5561
Mailing address
2631 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 855-7439
(812) 855-5561
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002148A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11512048
CAQH PROVIDER ID
IN
05
—
200508580
—
IN
Enumeration date
10/14/2005
Last updated
06/19/2025
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