Individual
MARTHA KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3506 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 865-6700
(765) 864-6703
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000337
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200877680
—
IN
Enumeration date
05/03/2007
Last updated
11/27/2023
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