Individual
BRENT L KINSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1113
(319) 356-1193
Mailing address
2701 S 70TH ST, LINCOLN, NE 68506-2918
(402) 483-3400
(402) 483-3405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
469
NE
363A00000X
Physician Assistant
109358
IA
363A00000X
Physician Assistant
Primary
469
NE
Other
Enumeration date
12/04/2006
Last updated
12/11/2023
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