Individual
MR. STEVEN J KINNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
311 JUDGES RD STE 4E, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 791-6890
Mailing address
311 JUDGES RD STE 4E, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 791-6890
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NC
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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