Individual
MRS. TINA MICHELLE KINSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12145 SW 8TH ST, YUKON, OK 73099-7326
(405) 308-6569
Mailing address
PO BOX 852135, YUKON, OK 73085-2135
(405) 308-6569
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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