Kinney, Archie M

Kinney, Archie M is an individual health care provider with primary practice located at 200 West Hospital Drive , Whiteriver AZ 85941-0860. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kinney, Archie M can be contacted via phone (928) 338-4911.

Contact Information

Primary practice address
200 West Hospital Drive Whiteriver AZ 85941-0860
Phone: (928) 338-4911
Fax: (928) 338-1122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1148 Arizona

Profile Details

NPI number 1295725067
LBN Legal business name Kinney, Archie M
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Mar 19th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295725067 NPPES
Arizona MEDICAID 698821
Arizona MEDICAID 1427335140
Arizona MEDICAID 1427335181
Arizona Other 970030184

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