Individual
ADRIENNE BETH KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2122 TROY RD STE 130, EDWARDSVILLE, IL 62025-2540
(618) 800-4500
Mailing address
2122 TROY RD STE 130, EDWARDSVILLE, IL 62025-2540
(618) 800-4500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2019046865
MO
363L00000X
Nurse Practitioner
Primary
209.017242
IL
Other
Enumeration date
02/28/2018
Last updated
08/01/2023
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