Individual
MRS. LISA LYNN KINSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(937) 641-4215
(937) 641-5259
Mailing address
ONE CHILDREN'S PLAZA, DAYTON, OH 45404-1815
(937) 641-4215
(937) 641-5259
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
COA 13222 NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066049
—
OH
Enumeration date
05/23/2012
Last updated
07/01/2015
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