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Individual

DAVID WAYNE KINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN MSN FNPC

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
715087
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180055901
TX
Enumeration date
09/08/2006
Last updated
04/04/2022
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