Kinney, Thomas E

Kinney, Thomas E is an individual health care provider with primary practice located at 13800 W North Avenue Ste 110, Brookfield WI 53005. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Kinney, Thomas E can be contacted via phone (262) 717-4000.

Contact Information

Primary practice address
13800 W North Avenue Ste 110 Brookfield WI 53005
Phone: (262) 717-4000
Fax: (262) 641-7435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 27691 Wisconsin
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 27691 Wisconsin

Profile Details

NPI number 1447254875
LBN Legal business name Kinney, Thomas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated May 19th, 2008 - about 18 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 1447254875 NPPES
Wisconsin MEDICAID 31936200

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