Individual
DR. BRUCE S KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3107 W CAMP WISDOM RD STE 170, DALLAS, TX 75237-2643
(972) 942-7700
(972) 942-7701
Mailing address
3107 W CAMP WISDOM RD STE 170, DALLAS, TX 75237-2643
(972) 942-7700
(972) 942-7701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P6008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338946202
—
TX
Enumeration date
05/04/2011
Last updated
10/11/2019
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