Individual
MR. JACK KINYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
560 COHASSET RD, SUITE 185, CHICO, CA 95926-2212
(530) 891-2999
Mailing address
560 COHASSET RD, SUITE 185, CHICO, CA 95926-2212
(530) 891-2999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
749650
CA
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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