Individual
JENNIFER KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16875 W CANYON TRAILS BLVD, GOODYEAR, AZ 85338-4608
(623) 772-4110
Mailing address
16875 W CANYON TRAILS BLVD, GOODYEAR, AZ 85338-4608
(623) 772-4110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP049207
AZ
Other
Enumeration date
11/17/2013
Last updated
11/17/2013
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