Individual
JENNY BETH KINNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1632 PINE ST, PHILADELPHIA, PA 19103-6711
(215) 735-7992
Mailing address
2234 BROOKVIEW PL, ELKINS PARK, PA 19027-2804
(516) 707-0472
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
SP025139
PA
363L00000X
Nurse Practitioner
Primary
SP025139
PA
Other
Enumeration date
01/20/2022
Last updated
10/20/2025
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