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Contact Information

KELLY A KINSLEY, MD
4715 VALLEY EAST BLVD
SUITE 3
ARCATA, CA95521-3584
 Phone: 707-822-3376
 Fax: 707-822-5053
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for KELLY A KINSLEY · (Male)

NPI # 1013091958
Status Active
Credentials MD
Entity Individual
Enumeration date 10/25/2006
Last updated 02/23/2017 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G77600
Hospital affiliation(s)
  • MAD RIVER COMMUNITY HOSPITAL - (Acute Care)
    3800 JANES RD
    ARCATA, CA 95521
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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