Individual
MRS. KENDRA KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
195 WEST MAIN, CEDAREDGE, CO 81413
(970) 856-6970
(970) 856-7752
Mailing address
295 NW 9TH ST, CEDAREDGE, CO 81413-3527
(970) 856-6970
(970) 856-7752
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991078
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035353
—
CO
Enumeration date
10/31/2006
Last updated
07/09/2007
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