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Individual

DR. VAN ALAN KINSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
893 W HEATHER GLEN RD, NIXA, MO 65714-8218
(417) 849-4199
Mailing address
893 W HEATHER GLEN RD, NIXA, MO 65714-8218
(417) 849-4199

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2003002970
MO
208D00000X
General Practice Physician
2003002970
MO

Other

Enumeration date
10/05/2009
Last updated
10/05/2009
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