Individual
JENNIFER JOAN KINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 VILLAGE CIRCLE WAY, APT #322, DURHAM, NC 27713-6126
(919) 328-9036
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-7093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2013-00636
NC
390200000X
Student in an Organized Health Care Education/Training Program
165150
NC
Other
Enumeration date
06/09/2010
Last updated
03/29/2021
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