Individual
JO A KINZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
604 UNION ST, COFFEYVILLE, KS 67337-6020
(620) 251-4300
(620) 251-4979
Mailing address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-9873
(620) 231-2808
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11014
KS
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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