Individual
JEREMY KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 N 16TH ST, NEW CASTLE, IN 47362
(765) 521-0890
Mailing address
5365 N 25 W, GREENFIELD, IN 46140-7239
(317) 414-8283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28167056A
IN
363L00000X
Nurse Practitioner
Primary
71008177A
IN
363LF0000X
Family Nurse Practitioner
71008177A
IN
Other
Enumeration date
05/15/2018
Last updated
10/29/2020
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