Individual
THOMAS E KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13800 W NORTH AVENUE, STE 110, BROOKFIELD, WI 53005
(262) 717-4000
(262) 641-7435
Mailing address
13800 W NORTH AVE, SUITE 110, BROOKFIELD, WI 53005-4977
(262) 717-4000
(262) 641-7435
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
27691
WI
208200000X
Plastic Surgery Physician
Primary
27691
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31936200
—
WI
Enumeration date
06/13/2005
Last updated
05/19/2008
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