Provider Demographics
NPI:1003110040
Name:KINNEY, DARLENE ANNE (RD)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:ANNE
Last Name:KINNEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5630 WITTMER MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-8804
Mailing Address - Country:US
Mailing Address - Phone:513-378-1847
Mailing Address - Fax:
Practice Address - Street 1:5630 WITTMER MEADOWS DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-8804
Practice Address - Country:US
Practice Address - Phone:513-378-1847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH819724133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered