Kinsman, Lisa Lynn

Kinsman, Lisa Lynn is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1873. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kinsman, Lisa Lynn can be contacted via phone (937) 641-4215.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1873
Phone: (937) 641-4215
Fax: (937) 641-5259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X COA 13222 NP Ohio

Profile Details

NPI number 1477813475
LBN Legal business name Kinsman, Lisa Lynn
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2012
Last updated Jul 1st, 2015 - about 11 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 1477813475 NPPES
Ohio MEDICAID 0066049

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