Kinsey, Timothy James

Kinsey, Timothy James is an individual health care provider with primary practice located at 2650 Ridge Ave , Evanston IL 60201-1700. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Kinsey, Timothy James can be contacted via phone (847) 570-2868.

Contact Information

Primary practice address
2650 Ridge Ave Evanston IL 60201-1700
Phone: (847) 570-2868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.003829 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1992016661
LBN Legal business name Kinsey, Timothy James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2010
Last updated Oct 21st, 2019 - about 6 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 1992016661 NPPES
Illinois Other 1091098 NCCPA

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