Organization
CHRIS D. KINNEY, D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE E. MCFERRAN (FRONT OFFICE)
(765) 649-8118
Entity
Organization
Contact information
Practice address
3825 FAIRVIEW DR, ANDERSON, IN 46013-4059
(765) 649-8118
(765) 649-8119
Mailing address
3825 FAIRVIEW DR, ANDERSON, IN 46013-4059
(765) 649-8118
(765) 649-8119
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12008702
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100172330A
—
IN
Enumeration date
11/30/2011
Last updated
11/30/2011
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