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NPI Code Detail

MEDICARE: RICHARD SHAWN KINSEY MD

MEDICARE:   RICHARD SHAWN KINSEY  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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician48729TN
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician72071-20WI
3390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BP1-0017845OTHERINSTITUTIONAL PERMIT

General Provider Information

NPI Number : 1659574127
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD SHAWN KINSEY MD
Provider Business Mailing Address
First Line : 3495 HACKS CROSS RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-8803
Country : US
Telephone Number : 901-526-7444
Fax Number : 901-526-0791
Provider Business Practice Location Address
First Line : 3495 HACKS CROSS RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-8803
Country : US
Telephone Number : 901-526-7444
Fax Number : 901-526-0791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2007
Last Update Date : 01/26/2026

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Directions to “ RICHARD SHAWN KINSEY MD” Practice Location

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