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Contact Information

KENNETH D KINNAN, PA-C
120 NE SAINT LUKES BLVD STE 200
LEE'S SUMMIT, MO64086
 Phone: 816-246-4302
 Fax: 816-246-9493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KENNETH D KINNAN · (Male)

NPI # 1891856159
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/12/2006
Last updated 04/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 15-00968
  • MO License # 2008021981
Hospital affiliation(s)
  • SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL - (Acute Care)
    100 N E SAINT LUKE'S BOULEVARD
    LEES SUMMIT, MO 64086
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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