Kinney, John W
Kinney, John W is an individual health care provider with primary practice located at 2057 Wilma Rudolph Blvd , Clarksville TN 37040-6621. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kinney, John W can be contacted via phone (931) 647-6500.Contact Information
Primary practice address
2057 Wilma Rudolph Blvd
Clarksville TN 37040-6621
Phone: (931) 647-6500
Fax: (931) 647-6500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS4249 | Tennessee |
Profile Details
| NPI number | 1124017892 |
|---|---|
| LBN Legal business name | Kinney, John W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1124017892 | NPPES |
| Tennessee | MEDICAID | 5440278 |
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