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General NPI Number Information
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NPI Number | 1497631840
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Entity Type | Organization
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Legal Business Name | KINNE PSYCHIATRY, LLC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 771 CHESTNUT ST
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City | MANCHESTER
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State | NH
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Zip | 03104-3011
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Country | US
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Telephone | 650-549-4330
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Fax | 650-360-0879
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Provider Business Mailing Address
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Address Line | 5 VILLAGER RD
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City | CHESTER
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State | NH
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Zip | 03036-4035
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Country | US
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Telephone | 207-831-6638
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Fax | 650-360-0879
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY C KINNE
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Credential | APRN, PMHNP-BC
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Telephone | 650-549-4330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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