Provider Demographics
NPI:1134644461
Name:KINNEY, BRITTANY (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:KINNEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:LABELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3590 SUNRISE LN NW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49534-3658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1231 E BELTLINE AVE NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-4501
Practice Address - Country:US
Practice Address - Phone:616-942-0954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302041892183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist