Individual
DR. SHAWN KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
522 W FINNIE FLAT RD STE J, CAMP VERDE, AZ 86322-7265
(928) 567-5249
Mailing address
PO BOX 1689, CAMP VERDE, AZ 86322-1689
(260) 479-5853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009495
AZ
261QD0000X
Dental Clinic/Center
—
AZ
Other
Enumeration date
07/06/2016
Last updated
06/02/2021
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