Individual
STEVEN CLARK KINNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1619 N GREENWOOD ST, SUITE 406, PUEBLO, CO 81003-2644
(719) 584-7310
Mailing address
1619 N GREENWOOD ST, SUITE 406, PUEBLO, CO 81003-2644
(719) 584-7310
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
28014
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01280148
—
CO
Enumeration date
01/18/2006
Last updated
11/13/2007
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