NPI Code Detail JSON Logo

1619269099 NPI number — BRUCE S KINNEY DO

NPI Number: 1619269099
Health Care Provider/Practitioner: BRUCE S KINNEY DO

Information about “1619269099” NPI (BRUCE S KINNEY DO) exists in 1619269099 in HTML format HTML  |  1619269099 in plain Text format TXT  |  1619269099 in PDF (Portable Document Format) PDF  |  1619269099 in an XML format XML  formats.

NPI Number : 1619269099 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619269099",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KINNEY",
    "FirstName": "BRUCE",
    "MiddleName": "S",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3107 W CAMP WISDOM RD STE 170",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75237-2643",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-942-7700",
    "MailingAddressFaxNumber": "972-942-7701",
    "FirstLinePracticeLocationAddress": "3107 W CAMP WISDOM RD STE 170",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75237-2643",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-942-7700",
    "PracticeLocationAddressFaxNumber": "972-942-7701",
    "EnumerationDate": "05/04/2011",
    "LastUpdateDate": "10/11/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "P6008",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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