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Individual

JONATHAN A. KINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
N0171
TX
2085R0202X
Diagnostic Radiology Physician
N0171
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
195839901
TX
Enumeration date
05/03/2006
Last updated
10/20/2015
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