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NPI Code Detail

MEDICARE: DR. KATHRYN LYNN KINSELLA MD

MEDICARE: DR. KATHRYN LYNN KINSELLA 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
1207P00000XEmergency Medicine PhysicianA101539CA

General Provider Information

NPI Number : 1255515490
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHRYN LYNN KINSELLA MD
Provider Business Mailing Address
First Line : 924 WESTWOOD BLVD STE 300
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-2924
Country : US
Telephone Number : 131-079-4085
Fax Number :
Provider Business Practice Location Address
First Line : 924 WESTWOOD BLVD STE 300
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-2924
Country : US
Telephone Number : 131-079-4085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2007
Last Update Date : 11/29/2021

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