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NPI Code Detail

MEDICARE: KARISSA ROSE KINNUNEN DO

MEDICARE: KARISSA ROSE KINNUNEN DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1588465660
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARISSA ROSE KINNUNEN DO
Provider Business Mailing Address
First Line : 9225 UNIVERSITY BLVD STE E2A
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9149
Country : US
Telephone Number : 843-847-5621
Fax Number :
Provider Business Practice Location Address
First Line : 9225 UNIVERSITY BLVD STE E2A
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9149
Country : US
Telephone Number : 843-847-5621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2025
Last Update Date : 06/08/2026

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Directions to “ KARISSA ROSE KINNUNEN DO” Practice Location

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