Individual
TIMOTHY KINIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17440 HENDERSON PASS, SAN ANTONIO, TX 78232-1662
(210) 483-5915
Mailing address
1019 INDIGO RUN DR, BULVERDE, TX 78163-3224
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
7718731
TX
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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