Individual
DR. BREONNA KINNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605-4210
(864) 455-7899
(864) 455-5474
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2024-01211
NC
2084P0800X
Psychiatry Physician
Primary
83132
SC
2084P0800X
Psychiatry Physician
LL83132
SC
Other
Enumeration date
05/15/2020
Last updated
09/02/2025
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