Provider Demographics
NPI:1194861567
Name:KINSKEY, KATHY ANN (MA)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:ANN
Last Name:KINSKEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9450 PINECROFT DRIVE
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3320
Mailing Address - Country:US
Mailing Address - Phone:303-443-1220
Mailing Address - Fax:210-598-1910
Practice Address - Street 1:9450 PINECROFT DRIVE
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-3320
Practice Address - Country:US
Practice Address - Phone:303-443-1220
Practice Address - Fax:210-598-1910
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2022-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2692101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO59-3800751OtherEIN