Individual
MRS. KIMBERLY JEAN KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001151070
VA
363LW0102X
Women's Health Nurse Practitioner
0024164385
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN226089
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04093
NC BC/BS
NC
01
—
10029400N
SENTARA/OPTIMA
VA
05
—
1982679189
—
VA
05
—
7004093
—
NC
Enumeration date
02/21/2006
Last updated
08/19/2013
Update your record
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