Healthcare Provider Details

I. General information

NPI: 1609363407
Provider Name (Legal Business Name): GINA KINSEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2018
Last Update Date: 07/04/2020
Certification Date: 07/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 US HIGHWAY 1 STE 120
NORTH PALM BEACH FL
33408-3858
US

IV. Provider business mailing address

920 W JASMINE DR
LAKE PARK FL
33403-2108
US

V. Phone/Fax

Practice location:
  • Phone: 561-891-4694
  • Fax:
Mailing address:
  • Phone: 561-776-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberRN9425797
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: