Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | MD028383E | PA |
NPI | 1699735928 |
---|---|
Provider Name | Dr. Robert H. Kinsey |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-1339 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 13/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011721800001 | (05) | PA |
E21932 | (02) |