Individual
CAROL LEE KINZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1708 YAKIMA AVE, SUITE 107, TACOMA, WA 98405-5307
(253) 272-5881
(253) 383-0161
Mailing address
1708 YAKIMA AVE, SUITE 107, TACOMA, WA 98405-5307
(253) 272-5881
(253) 383-0161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30004242
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP30004242
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9622010
—
WA
Enumeration date
05/20/2006
Last updated
12/01/2010
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