Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | R8590 | TX |
NPI | 1265828040 |
---|---|
Provider Name | Dr. Jennifer Kinney |
First Address | Houston, TX 77030-3005 |
Second Address | Houston, TX 77030-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2015 |
Last Update Date | 05/11/2021 |