Individual
MRS. KRISTY LEE KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 695-6726
Mailing address
8 PADDOCK CHASE, IRMO, SC 29063-2938
(803) 781-9132
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
134
SC
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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