Individual
MS. KATHERINE C KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1895 N JASPER DR STE 3, FLAGSTAFF, AZ 86001-1632
(928) 913-8800
Mailing address
1200 N BEAVER ST, ATTN: PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150011676
IL
1041C0700X
Clinical Social Worker
Primary
18284
AZ
Other
Enumeration date
11/17/2009
Last updated
08/06/2025
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