Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | OS014872 | PA |
NPI | 1043478639 |
---|---|
Provider Name | Daniel J Kinem |
First Address | Erie, PA 16507-1537 |
Second Address | Erie, PA 16507-1537 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 02/04/2021 |