Provider Demographics
NPI:1154649697
Name:KINNER, JOSEPH MITCHELL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MITCHELL
Last Name:KINNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2648
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502-2648
Mailing Address - Country:US
Mailing Address - Phone:606-432-1357
Mailing Address - Fax:606-432-2457
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-1689
Practice Address - Country:US
Practice Address - Phone:859-323-2222
Practice Address - Fax:859-323-5090
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY452962085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP01710794OtherRAILROAD MEDICARE
KY65932626OtherAETNA BETTER HEALTH
KY1270507OtherWELLCARE
KY7100292530Medicaid
KY50110245OtherWELLCARE
K204130OtherMEDICARE