Individual
DR. JOHN W KINNEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2057 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-6621
(931) 647-6500
(931) 647-6500
Mailing address
2057 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-6621
(931) 647-6500
(931) 647-6500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS4249
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440278
—
TN
Enumeration date
10/17/2005
Last updated
07/08/2007
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