Tinnel, Kathleen

Tinnel, Kathleen is an individual health care provider with primary practice located at 2245 N State St , Clarksdale MS 38614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tinnel, Kathleen can be contacted via phone (662) 627-4131.

Contact Information

Primary practice address
2245 N State St Clarksdale MS 38614
Phone: (662) 627-4131
Fax: (662) 627-2702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R861078 Mississippi

Profile Details

NPI number 1952434920
LBN Legal business name Tinnel, Kathleen
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 19 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 1952434920 NPPES
Mississippi MEDICAID 00122474

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