Individual
VICKI A KINSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
86 HARRIS RD, KILMARNOCK, VA 22482-3845
(804) 435-2651
(804) 435-2302
Mailing address
86 HARRIS RD, KILMARNOCK, VA 22482-3845
(804) 435-2651
(804) 435-2302
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101046144
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006048994
—
VA
01
—
C09122
MEDICARE GROUP NUMBER
—
Enumeration date
03/24/2006
Last updated
01/13/2017
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