Individual
ASHLEY IDIAQUEZ KINNAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5005528
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5005528
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5005528
NC BOARD OF NURSING: ANP LICENSE
NC
Enumeration date
06/03/2011
Last updated
01/11/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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