Kinnison, Susan

Kinnison, Susan is an individual health care provider with primary practice located at 101 Elm Ave Se , Roanoke VA 24013-2222. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Kinnison, Susan can be contacted via phone (540) 224-4325.

Contact Information

Primary practice address
101 Elm Ave Se Roanoke VA 24013-2222
Phone: (540) 224-4325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101227973 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101227973 Virginia

Profile Details

NPI number 1568441046
LBN Legal business name Kinnison, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Aug 6th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568441046 NPPES
Virginia MEDICAID 007313535
Virginia Other P00310524
Virginia MEDICAID 1568441046

Popular Providers