Individual
TIFFANY M KINNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
634 SW MULVANE ST STE 405, TOPEKA, KS 66606-1678
(785) 295-8470
Mailing address
6650 W 110TH ST STE 220A, OVERLAND PARK, KS 66211-1501
(913) 549-3884
(913) 273-3343
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
2021003528
KS
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
79985
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004752220001
—
KS
Enumeration date
02/10/2021
Last updated
05/23/2024
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