| Organization Name: | BRUCE L KINNEY |
| NPI Number: | 1073792669 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA WILLIAMS (BILLING COORDINATOR) |
| Mailing Address: | 5000 Ky Route 321 Ste 2127 Prestonsburg |
| State: | KY US |
| Postal Code: | 416539113 |
| Phone Number: | 6064784287 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2007 |
| NPI Last Update Date: | 10/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |