Individual
GEOFFREY PATRICK KINNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2001 N 4TH STREET, FLAGSTAFF, AZ 86004
(928) 526-5797
Mailing address
2501 N 4TH ST, STE 7A, FLAGSTAFF, AZ 86004-3700
(520) 491-9298
(928) 779-2429
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6024
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
647672
UNITED HEALTHCARE
AZ
01
—
AZ0938270
BCBS OF AZ
AZ
Enumeration date
09/26/2006
Last updated
04/07/2017
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