Doctor Name: | MRS. JEAN E. KINNAMAN |
NPI Number: | 1124363023 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN00089044 |
Business Practice Address: | 214 W Main Puyallup, WA - 983715328 |
Business Phone Number: | 2534356718 |
Business Fax Number: | 2538418655 |
Mailing Address: | 214 W Main, PUYALLUP |
State: | WA |
Postal Code: | 983715328 |
Phone Number: | 2534356718 |
Fax Number: | 2538418655 |
NPI Enumeration Date: | 12/03/2012 |
NPI Last Update Date: | 12/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | RN00089044 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |