Kinne, Beverly H

Kinne, Beverly H is an individual health care provider with primary practice located at 358 Mountain View Rd , Copake NY 12516-1239. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Kinne, Beverly H can be contacted via phone (518) 392-3900.

Contact Information

Primary practice address
358 Mountain View Rd Copake NY 12516-1239
Phone: (518) 392-3900
Fax: (518) 392-1040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F302098 New York
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 360033 New York

Profile Details

NPI number 1114953718
LBN Legal business name Kinne, Beverly H
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Oct 27th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114953718 NPPES
New York Other W79533 MEDICARE GROUP ; COLUMBIA MEMORIAL HOSPITAL
New York MEDICAID 01909517 MEDICARE GROUP ; COLUMBIA MEMORIAL HOSPITAL

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