Individual
TIMOTHY RICHARD KINSEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2191
(706) 721-4920
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-8402
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101235162
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010007208
—
VA
Enumeration date
06/09/2005
Last updated
04/04/2011
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