Provider Demographics
NPI:1124180377
Name:KINNEY, TROY (DC)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:
Last Name:KINNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5805 SAINTSBURY DR STE 107
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5373
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5805 SAINTSBURY DR STE 107
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-5373
Practice Address - Country:US
Practice Address - Phone:972-820-5880
Practice Address - Fax:972-820-5880
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9873111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV04211Medicare UPIN
TX8D3070Medicare ID - Type Unspecified