Individual
DR. JOSEPH EDMUND KINZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3789
(712) 279-3613
Mailing address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3789
(712) 279-3613
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28490
IA
207Q00000X
Family Medicine Physician
28490
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00125817
RAIL ROAD MEDICARE NUMBER
IA
Enumeration date
03/31/2006
Last updated
07/09/2019
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