Individual
DEVIN KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2235 CLEVELAND RD, SOUTH BEND, IN 46628-3529
(574) 647-4530
Mailing address
3245 HEALTH DR., SUITE 100, GRANGER, IN 46530-3245
(547) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28225217A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300070242
—
IN
Enumeration date
10/31/2022
Last updated
05/01/2023
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