Individual
BRYANNA ELIZABETH KINNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
131 JPM RD STE A, LEWISBURG, PA 17837-9309
(570) 523-6115
(570) 523-6178
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058232
PA
363A00000X
Physician Assistant
OA003810
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031819960001
—
PA
Enumeration date
03/23/2016
Last updated
04/25/2022
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