MEDICARE: DR. JOSHUA KINNEY D.C., B.S.

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
1	111N00000X	Chiropractor	32604	CA

General Provider Information

NPI Number	:	1215370705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA KINNEY D.C., B.S.

Provider Business Mailing Address
First Line	:	920 SARATOGA AVE STE 107
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-3408
Country	:	US
Telephone Number	:	408-921-7246
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 SARATOGA AVE STE 107
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-3408
Country	:	US
Telephone Number	:	408-921-7246
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2013
Last Update Date	:	04/15/2013

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