Kinney, Charles Henry
Kinney, Charles Henry is an individual health care provider with primary practice located at 1950 Old Gallows Rd Suite 520, Vienna VA 22182-3990. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kinney, Charles Henry can be contacted via phone (703) 847-8899.Contact Information
Primary practice address
1950 Old Gallows Rd Suite 520
Vienna VA 22182-3990
Phone: (703) 847-8899
Fax: (703) 991-4051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 110978-9934 | Utah |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1074 | North Carolina |
Profile Details
| NPI number | 1124004338 |
|---|---|
| LBN Legal business name | Kinney, Charles Henry |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Jan 31st, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124004338 | NPPES |
| North Carolina | MEDICAID | 7909490 | |
| North Carolina | Other | 09490 |
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