Individual
MRS. ALEXANDREA K KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4299
(877) 342-7876
(419) 479-5427
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 473-3561
(419) 479-5593
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.008027RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0412125
—
OH
Enumeration date
01/04/2022
Last updated
02/06/2025
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