| NPI | 1669704110 |
|---|---|
| Former Name | MARY LYNN KINNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3002465) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3002465) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 2465P) | |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2022-01-12 |