Doctor Name: | TOMINA KINZIE |
NPI Number: | 1669643243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN23754 |
Business Practice Address: | 550 6th Avenue North Wolf Point, MT - 59201 |
Business Phone Number: | 4066531641 |
Business Fax Number: | 4066533728 |
Mailing Address: | 550 6th Avenue North, WOLF POINT |
State: | MT |
Postal Code: | 59201 |
Phone Number: | 4066531641 |
Fax Number: | 4066533728 |
NPI Enumeration Date: | 03/21/2008 |
NPI Last Update Date: | 03/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN23754 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |