Organization
MEDICAL CP
Active
Other names
Zacqulynn Kinney
Organization subpart
No
Provider details
NPI number
Authorized official
ZACQULYNN KINNEY (MEMBER/OWNER)
(318) 840-6381
Entity
Organization
Contact information
Practice address
6138 GREENWOOD RD STE 500, SHREVEPORT, LA 71119-8500
(318) 840-6381
Mailing address
6138 GREENWOOD RD STE 500, SHREVEPORT, LA 71119-8500
(318) 840-6381
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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