Individual
JOSEPH THOMAS KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4628 MESSINA DR, LAKE MARY, FL 32746-2642
(407) 256-3115
Mailing address
4628 MESSINA DR, LAKE MARY, FL 32746-2642
(407) 256-3115
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
9238803
FL
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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