Individual
MRS. JEAN E. KINNAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 435-6718
(253) 841-8655
Mailing address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 435-6718
(253) 841-8655
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN00089044
WA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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