Individual
DOUGLAS KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
525 CRAWFORD ROAD, OTEGO, NY 13825
(607) 432-1010
Mailing address
8 GRAND STREET, ONEONTA, NY 13820
(607) 432-1010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
037471
NY
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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