| NPI | 1942852454 |
|---|---|
| Other Name | JIM R KINNEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A155621) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A155621) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2022-08-23 |