| Doctor Name: | MR. MICHAEL JOSEPH KINNEY |
| NPI Number: | 1043511611 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | SP010984 |
| Business Practice Address: | 405 Hurffville Crosskeys Rd Suite203 Sewell, NJ - 080809340 |
| Business Phone Number: | 8565820033 |
| Business Fax Number: | 8565822305 |
| Mailing Address: | 405 Hurffville Crosskeys Rd, Suite203 SEWELL |
| State: | NJ |
| Postal Code: | 080809340 |
| Phone Number: | 8565820033 |
| Fax Number: | 8565822305 |
| NPI Enumeration Date: | 11/12/2010 |
| NPI Last Update Date: | 10/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | SP010984 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |