Kinney, Laura M

Kinney, Laura M is an individual health care provider with primary practice located at 97 85Th Ave Nw , Coon Rapids MN 55433-6022. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Kinney, Laura M can be contacted via phone (952) 224-9785.

Contact Information

Primary practice address
97 85Th Ave Nw Coon Rapids MN 55433-6022
Phone: (952) 224-9785
Fax: (952) 224-9790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11717 Minnesota

Profile Details

NPI number 1407924509
LBN Legal business name Kinney, Laura M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Dec 18th, 2012 - about 14 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 1407924509 NPPES
Minnesota MEDICAID 245994900

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