Individual
TIMOTHY KINNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7467 SAINT ANDREWS RD STE 9, IRMO, SC 29063-2876
(803) 749-5031
Mailing address
7467 SAINT ANDREWS RD STE 9, IRMO, SC 29063-2876
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
851
SC
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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