Provider Demographics
NPI:1164670253
Name:KINSEL, RICHARD P
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:P
Last Name:KINSEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1291 E HILLSDALE BLVD
Mailing Address - Street 2:SUITE 143
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-1220
Mailing Address - Country:US
Mailing Address - Phone:650-573-8262
Mailing Address - Fax:
Practice Address - Street 1:1291 E HILLSDALE BLVD
Practice Address - Street 2:SUITE 143
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-1220
Practice Address - Country:US
Practice Address - Phone:650-573-8262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA283451223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics