Individual
DR. TRACY JOAN KINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
545 S BOEHNE CAMP RD, EVANSVILLE, IN 47712-3703
(812) 402-1264
(812) 402-1263
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28150240A
IN
363L00000X
Nurse Practitioner
Primary
71002074A
IN
363LF0000X
Family Nurse Practitioner
71002074A
IN
Other
Enumeration date
05/13/2006
Last updated
09/25/2020
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