Individual
JOAN H KINNIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 9 FOUNDERS, MICU, PHILADELPHIA, PA 19104-4206
(215) 662-3202
Mailing address
3400 SPRUCE ST, SUITE F, PHILADELPHIA, PA 19104-4206
(215) 662-3958
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP008509
PA
Other
Enumeration date
10/04/2006
Last updated
02/18/2011
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