Individual
DR. ELIZABETH B KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19021 US HIGHWAY 285, LA JARA, CO 81140-9410
(719) 274-5121
(719) 274-6003
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 587-1417
(719) 587-6324
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32767
CO
207Q00000X
Family Medicine Physician
32767
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01327675
—
CO
Enumeration date
12/05/2005
Last updated
04/19/2013
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