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NPI Code Detail

MEDICARE: CHANTAL DEANNE KINSEY

MEDICARE:   CHANTAL DEANNE KINSEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1437943941
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTAL DEANNE KINSEY
Provider Business Mailing Address
First Line : 2500 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39216-4500
Country : US
Telephone Number : 713-756-8374
Fax Number :
Provider Business Practice Location Address
First Line : 1401 ST JOSEPH PKWY # 2SKS
Second Line :
City : HOUSTON
State : TX
Zip : 77002-8301
Country : US
Telephone Number : 713-756-8374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2025
Last Update Date : 06/01/2026

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Directions to “ CHANTAL DEANNE KINSEY ” Practice Location

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