Individual
DR. ROBERT BRUCE KINNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 783-1542
Mailing address
PO BOX 409, BLUEFIELD, WV 24701-0409
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
28767
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49305
BCBS OF NC
NC
05
—
8949305
—
NC
Enumeration date
08/22/2005
Last updated
09/28/2018
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