; NPI #1003315151

Contact Information

THOMAS C KINNE II

314 ASPEN STREET
FREDONIA, AZ 86022

Phone: 928-925-5992
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Respite Care	385H00000X

Indicates primary specialty

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NPI Profile & details for

NPI Number 1003315151

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 02/05/2018

Last updated 02/05/2018 - About 8 years ago

Identifiers

License #

8876774

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Respite Care

NPI Profile & details for

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