Individual
BETHANY KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4100 W RAUCH RD, PETERSBURG, MI 49270-9800
(419) 343-7072
Mailing address
14121 PARKE LONG CT, CHANTILLY, VA 20151-1647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021938
OH
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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