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NPI Code Detail

MEDICARE: TODD E. KINNEBREW MD

MEDICARE: TODD E. KINNEBREW MD
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
1207X00000XOrthopaedic Surgery Physician37009GA

General Provider Information

NPI Number : 1932150729
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD E. KINNEBREW MD
Provider Business Mailing Address
First Line : 301 MARGIE DR
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-7818
Country : US
Telephone Number : 478-971-1153
Fax Number : 478-971-1171
Provider Business Practice Location Address
First Line : 301 MARGIE DR
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-7818
Country : US
Telephone Number : 478-971-1153
Fax Number : 478-971-1171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 10/22/2025

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Directions to “ TODD E. KINNEBREW MD” Practice Location

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