Individual
PAUL KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1753 9TH ST, 202, SANTA MONICA, CA 90404-4313
(516) 353-1140
(310) 564-1966
Mailing address
1753 9TH ST, 202, SANTA MONICA, CA 90404-4313
(516) 353-1140
(310) 564-1966
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069902535
NATIONAL ATHLETIC TRAINERS' ASSOCIATION
—
Enumeration date
07/16/2009
Last updated
07/16/2009
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