Kenneth David Kinnan in Lees Summit - Surgical

Kenneth David Kinnan - NPI 1891856159

Kenneth David Kinnan is a Surgical in Lees Summit, Missouri. Kenneth David Kinnan practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kenneth David Kinnan is 1891856159. The last update date is 2019-04-09.

Kenneth David Kinnan's current location address is 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, Missouri. You can contact this provider via phone number 8162464302 and fax number 8162469493. The mailing address for Kenneth David Kinnan is 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth David Kinnan
Address 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, Missouri
Phone Number 8162464302
Fax Number 8162469493
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1891856159
Provider Enumeration Date 2006-12-12
Last Updated Date 2019-04-09

Provider Mailing Address Detail

Address 120 Ne Saint Lukes Blvd Ste 200
City Lees Summit
State Missouri (MO)
Post Code 640866011
Phone Number 8162464302
Fax Number 8162469493

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 2008021981
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Kenneth David Kinnan

What is the unique 10-digit identifier code issued to Kenneth David Kinnan by the Centers for Medicare & Medicaid Services?

The Kenneth David Kinnan has been assigned the NPI (National Provider Identifier) 1891856159 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kenneth David Kinnan is physically located?

The Kenneth David Kinnan is physically situated at the following address: 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO, 640866011.

What is Kenneth David Kinnan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth David Kinnan's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1891856159 to Kenneth David Kinnan?

The Kenneth David Kinnan received its 1891856159 assignment from the Centers for Medicare & Medicaid Services on 2006-12-12.

When was the information pertaining to Kenneth David Kinnan most recently updated or revised?

The details related to Kenneth David Kinnan, including its address, specialty, and other relevant information, were last updated or revised on 2019-04-09.

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