Kinney, Clifford Ernest
Kinney, Clifford Ernest is an individual health care provider with primary practice located at 1025 N Country Club Dr , Mesa AZ 85201-3307. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Kinney, Clifford Ernest can be contacted via phone (480) 472-2311.Contact Information
Primary practice address
1025 N Country Club Dr
Mesa AZ 85201-3307
Phone: (480) 472-2311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X |
Profile Details
| NPI number | 1639297690 |
|---|---|
| LBN Legal business name | Kinney, Clifford Ernest |
| Credentials | MA.ED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1639297690 | NPPES |
| American Samoa | MEDICAID | 583066 |
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