Doctor Name: | BEVERLY H KINNE |
NPI Number: | 1114953718 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 360033 |
Business Practice Address: | 358 Mountain View Rd Copake, NY - 125161239 |
Business Phone Number: | 5183923900 |
Business Fax Number: | 5183921040 |
Mailing Address: | Po Box 2000, HUDSON |
State: | NY |
Postal Code: | 125342000 |
Phone Number: | 5188288363 |
Fax Number: | 5186973388 |
NPI Enumeration Date: | 06/24/2006 |
NPI Last Update Date: | 10/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 360033 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |