Provider Demographics
NPI:1114065760
Name:KINION, DEAH CAIN (L AC)
Entity Type:Individual
Prefix:MS
First Name:DEAH
Middle Name:CAIN
Last Name:KINION
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38959 603RD ST
Mailing Address - Street 2:
Mailing Address - City:ZUMBRO FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:55991-5177
Mailing Address - Country:US
Mailing Address - Phone:507-753-3094
Mailing Address - Fax:
Practice Address - Street 1:3270 19TH ST NW
Practice Address - Street 2:SUITE 101
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-2948
Practice Address - Country:US
Practice Address - Phone:507-280-0300
Practice Address - Fax:507-536-2784
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1022171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist