Kinney, Martha

Kinney, Martha is an individual health care provider with primary practice located at 3506 S Lafountain St , Kokomo IN 46902-3803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kinney, Martha can be contacted via phone (765) 865-6700.

Contact Information

Primary practice address
3506 S Lafountain St Kokomo IN 46902-3803
Phone: (765) 865-6700
Fax: (765) 864-6703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000337 Indiana

Profile Details

NPI number 1134331358
LBN Legal business name Kinney, Martha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Nov 27th, 2023 - about last year

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 1134331358 NPPES
Indiana MEDICAID 200877680

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