Individual
TORI NICOLE KINAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
SAN ANTONIO MILITARY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE, JBSA, FT SAM HOUSTON, TX 78234-4504
(210) 916-1284
(210) 916-7323
Mailing address
1100 WILFORD HALL LOOP BLDG 455459, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0101288927
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2024
Last updated
02/24/2026
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