Individual
DR. TINA RENEE KINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16910 FRANCES ST, OMAHA, NE 68130-2398
(402) 505-8777
(402) 933-7767
Mailing address
16910 FRANCES ST, OMAHA, NE 68130-2398
(402) 505-8777
(402) 933-7767
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35753
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598883035
NPI
MI
01
—
35753
MEDICAL LICENSE
NE
01
—
4301102115
STATE LICENSE
MI
Enumeration date
03/26/2007
Last updated
08/28/2023
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