Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 71006465A | IN |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 71006465A | IN |
NPI | 1013462068 |
---|---|
Provider Name | Morgan Leigh Kinney |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-1228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2016 |
Last Update Date | 13/01/2021 |