Kinzner, Carol Lee

Kinzner, Carol Lee is an individual health care provider with primary practice located at 1708 Yakima Ave Suite 107, Tacoma WA 98405-5307. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Kinzner, Carol Lee can be contacted via phone (253) 272-5881.

Contact Information

Primary practice address
1708 Yakima Ave Suite 107 Tacoma WA 98405-5307
Phone: (253) 272-5881
Fax: (253) 383-0161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP30004242 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30004242 Washington

Profile Details

NPI number 1386698736
LBN Legal business name Kinzner, Carol Lee
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Dec 1st, 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 1386698736 NPPES
Washington MEDICAID 9622010

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