Individual
DR. PHILIP J KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2233 WALBERT AVE, SUITE 202, ALLENTOWN, PA 18104-1358
(610) 435-8480
Mailing address
2233 WALBERT AVE, SUITE 202, ALLENTOWN, PA 18104-1358
(610) 435-8480
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS006139L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02876800
CAPITAL BLUE CROSS ID
PA
01
—
KI727466
HIGHMARK BLUE SHIELD ID
PA
Enumeration date
11/07/2006
Last updated
07/08/2007
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