Individual
DR. CHARLES HENRY KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1074
NC
152W00000X
Optometrist
Primary
110978-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09490
BCBS PROVIDER #
NC
05
—
7909490
—
NC
Enumeration date
12/20/2005
Last updated
01/31/2018
Update your record
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