Individual
TANYA KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 797-8753
Mailing address
295 PARKVIEW DR, BLUE RIDGE, VA 24064-1614
(567) 274-7503
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-319350
VA
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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