Individual
KIRSTEN ELIZABETH MOSES KINNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
106 STARRET ST STE 100, LANCASTER, OH 43130-3993
(740) 687-0042
Mailing address
1280 GUMWOOD DR, COLUMBUS, OH 43229-4425
(614) 499-0907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
12/20/2023
Last updated
05/13/2024
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