Individual
DR. GEORGE H KINNEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3707 NEW VISION DR, FORT WAYNE, IN 46895-5602
(260) 484-0850
(260) 484-5919
Mailing address
3707 NEW VISION DR, FORT WAYNE, IN 46845-1702
(260) 484-0850
(260) 484-5919
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01032457
IN
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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