Individual
MRS. KERRY LYN DINNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2126 DAVIS AVE, KINGMAN, AZ 86401-4716
(928) 279-0109
Mailing address
2126 DAVIS AVE, KINGMAN, AZ 86401-4716
(928) 279-0109
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN098843
AZ
163WG0600X
Gerontology Registered Nurse
Primary
RN098843
AZ
163WH0200X
Home Health Registered Nurse
RN098843
AZ
163WW0000X
Wound Care Registered Nurse
RN098843
AZ
Other
Enumeration date
04/17/2007
Last updated
09/11/2025
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