| Doctor Name: | BRIAN TIMOTHY KINNE |
| NPI Number: | 1013125954 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CADC |
| License Number: | 0933 |
| Business Practice Address: | 3629 Church St Covington, KY - 410151430 |
| Business Phone Number: | 8595818974 |
| Business Fax Number: | |
| Mailing Address: | 8361 Ashhollow Dr, CINCINNATI |
| State: | OH |
| Postal Code: | 452473774 |
| Phone Number: | 5133479581 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0933 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |