Individual
JOHN R KINNAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
420 S HOWES ST # B100, FORT COLLINS, CO 80521-2871
(970) 305-5260
Mailing address
1913 SHEELY DR, FORT COLLINS, CO 80526-1939
(970) 305-5260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992834
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66620554
—
CO
Enumeration date
03/06/2007
Last updated
06/09/2019
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