Kinnan, Kenneth David

Kinnan, Kenneth David is an individual health care provider with primary practice located at 120 Ne Saint Lukes Blvd Ste 200 , Lees Summit MO 64086. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kinnan, Kenneth David can be contacted via phone (816) 246-4302.

Contact Information

Primary practice address
120 Ne Saint Lukes Blvd Ste 200 Lees Summit MO 64086
Phone: (816) 246-4302
Fax: (816) 246-9493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00968 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2008021981 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 15-00968 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2008021981 Missouri

Profile Details

NPI number 1891856159
LBN Legal business name Kinnan, Kenneth David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Apr 9th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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