Individual
DANIEL MATTHEW KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1815 E IRELAND RD, SOUTH BEND, IN 46614-2845
(574) 647-1700
(574) 647-1708
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01068216A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200985830
—
IN
Enumeration date
08/03/2008
Last updated
03/30/2021
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