Individual
MICHAEL A KINZER
Active
Individual
MICHAEL A KINZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
019169
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092605
ANTHEM
IN
01
—
1484
PHP
IN
05
—
2100649
—
OH
05
—
4249815100
—
MI
Enumeration date
06/03/2006
Last updated
07/13/2026
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