Individual
MARY BETH KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2900 COLLINS RD, LANSING, MI 48910-8394
(517) 975-6000
Mailing address
1749 HAMILTON RD STE 102E, OKEMOS, MI 48864-1941
(517) 482-2118
(517) 482-6280
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704158954
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704158954
STATE LICENSE
MI
Enumeration date
04/18/2007
Last updated
02/06/2024
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