Individual
LISA MARIE KINSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12647 OLIVE BLVD STE 600, SAINT LOUIS, MO 63141-6346
(800) 325-3982
Mailing address
4760 CHESNEY MEADOWS DR, STRAWBERRY PLAINS, TN 37871-1673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0000012737
TN
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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