Kinzer, Ian S

Kinzer, Ian S is an individual health care provider with primary practice located at 4040 Memorial Pkwy Sw , Huntsville AL 35802-4364. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Kinzer, Ian S can be contacted via phone (256) 533-1970.

Contact Information

Primary practice address
4040 Memorial Pkwy Sw Huntsville AL 35802-4364
Phone: (256) 533-1970
Fax: (256) 705-6477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1-147297 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1-147297 Alabama

Profile Details

NPI number 1043761810
LBN Legal business name Kinzer, Ian S
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2016
Last updated Oct 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043761810 NPPES
Alabama MEDICAID 239778

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