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NPI Code Detail

MEDICARE: AMY KINNEY

MEDICARE: AMY KINNEY
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
1163WP0808XPsychiatric/Mental Health Registered Nurse262724WI

General Provider Information

NPI Number : 1437956174
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY KINNEY
Provider Business Mailing Address
First Line : 1110 RUSKIN ST
Second Line :
City : MADISON
State : WI
Zip : 53704-4200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1110 RUSKIN ST
Second Line :
City : MADISON
State : WI
Zip : 53704-4200
Country : US
Telephone Number : 608-334-3542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2025
Last Update Date : 02/28/2025

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Directions to “ AMY KINNEY ” Practice Location

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