Individual
ROBERT JAMES KINNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7201 ENGLE RD, FORT WAYNE, IN 46804-2228
(260) 432-1800
(260) 432-1804
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-5640
(515) 282-2332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R-9785
IA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01081602A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249490007
MEDICAID
IN
05
—
300022826
—
IN
Enumeration date
06/09/2013
Last updated
06/27/2019
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