Individual
MELISSA HESTER KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W MAIN ST, SUITE 350, LEWISVILLE, TX 75057-3641
(972) 429-1300
(372) 459-1363
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Q2573
TX
2086X0206X
Surgical Oncology Physician
Primary
Q2573
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366940001
—
TX
Enumeration date
04/13/2009
Last updated
11/16/2022
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