Individual
TRIA B KINNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0293
(859) 323-5530
(859) 257-7706
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 562-5152
(859) 257-5152
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA931
KY
363AM0700X
Medical Physician Assistant
PA931
KY
363AS0400X
Surgical Physician Assistant
PA931
KY
Other
Enumeration date
02/19/2008
Last updated
11/18/2021
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