Individual
STEPHEN JAY KINSLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
USCG SECTOR-AIR STATION NORTH BEND, 2000 CONNECTICUT AVE, NORTH BEND, OR 97459
(541) 756-9237
Mailing address
67266 WILD RHODIE DR, NORTH BEND, OR 97459-8681
(541) 756-2421
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-05-7309
OH
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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