Kinnison, Larry Dale

Kinnison, Larry Dale is an sole proprietor health care provider with primary practice located at 900 Avenue J , Marble Falls TX 78654-5127. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kinnison, Larry Dale can be contacted via phone (830) 693-5502.

Contact Information

Primary practice address
900 Avenue J Marble Falls TX 78654-5127
Fax: (830) 693-5503
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2252 Texas

Profile Details

NPI number 1659366185
LBN Legal business name Kinnison, Larry Dale
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2005
Last updated Jul 8th, 2010 - about 14 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 1659366185 NPPES
Texas Other 350900118 RAILROAD MEDICARE

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