Individual
DR. BRUCE C KINZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
995 HOSPITALITY WAY, ABERDEEN, MD 21001-1755
(410) 306-7880
(410) 306-7881
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0044260
MD
207Q00000X
Family Medicine Physician
MD418799
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001890267
—
PA
Enumeration date
07/02/2006
Last updated
02/15/2022
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