Individual
MS. ARDENELLA KINNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3309 RENNER DR, FORTUNA, CA 95540-3119
(707) 725-6108
(707) 725-9674
Mailing address
3309 RENNER DR, FORTUNA, CA 95540-3119
(707) 725-6108
(707) 725-9674
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1311
CA
Other
Enumeration date
03/08/2007
Last updated
06/10/2021
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