Provider Demographics
NPI:1154210912
Name:KINNEY, ORSON ALONZO III (ACSM-EP)
Entity type:Individual
Prefix:MR
First Name:ORSON
Middle Name:ALONZO
Last Name:KINNEY
Suffix:III
Gender:M
Credentials:ACSM-EP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:10645 N TATUM BLVD STE 200-260
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-3068
Mailing Address - Country:US
Mailing Address - Phone:480-585-4010
Mailing Address - Fax:
Practice Address - Street 1:10645 N TATUM BLVD STE 200-260
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3068
Practice Address - Country:US
Practice Address - Phone:480-585-4010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist