Organization
MELISSA KINNEY, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KINNEY MD (PRESIDENT)
(214) 501-5427
Entity
Organization
Contact information
Practice address
500 W MAIN ST, STE 330, LEWISVILLE, TX 75057-3641
(214) 501-5427
(214) 501-5429
Mailing address
500 W MAIN ST, STE 330, LEWISVILLE, TX 75057-3641
(214) 501-5427
(214) 501-5429
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q2753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891938379
PROVIDER NPI
TX
Enumeration date
04/16/2015
Last updated
08/29/2015
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