Kinzner, Carol Lee
Kinzner, Carol Lee is an individual health care provider with primary practice located at 1708 Yakima Ave Suite 107, Tacoma WA 98405-5307. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Kinzner, Carol Lee can be contacted via phone (253) 272-5881.Contact Information
Primary practice address
1708 Yakima Ave Suite 107
Tacoma WA 98405-5307
Phone: (253) 272-5881
Fax: (253) 383-0161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP30004242 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30004242 | Washington |
Profile Details
| NPI number | 1386698736 |
|---|---|
| LBN Legal business name | Kinzner, Carol Lee |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Dec 1st, 2010 - about 16 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 | 1386698736 | NPPES |
| Washington | MEDICAID | 9622010 |
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