Kinsey, Timothy James
Kinsey, Timothy James is an individual health care provider with primary practice located at 2650 Ridge Ave , Evanston IL 60201-1700. 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 / Surgical is his primary health care specialty. Kinsey, Timothy James can be contacted via phone (847) 570-2868.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085.003829 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1992016661 |
|---|---|
| LBN Legal business name | Kinsey, Timothy James |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2010 |
| Last updated | Oct 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992016661 | NPPES |
| Illinois | Other | 1091098 | NCCPA |
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