Individual
DR. WILLIAM F. KINN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E BOULDER ST, MEMORIAL HOSPITAL PATHOLOGY, COLORADO SPRINGS, CO 80909-5533
(719) 365-5808
(719) 365-6908
Mailing address
1400 E BOULDER ST, MEMORIAL HOSPITAL PATHOLOGY, COLORADO SPRINGS, CO 80909-5533
(719) 365-5808
(719) 365-6908
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
CO37627
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22357343
—
CO
01
—
C037627
STATE LICENSE
CO
01
—
P00367434
RAILROAD MEDICARE
CO
Enumeration date
07/17/2006
Last updated
11/27/2007
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