Provider Demographics
NPI:1407157654
Name:KINIKINI, ANA
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:KINIKINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 EAST 200 SOUTH
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:94102
Mailing Address - Country:US
Mailing Address - Phone:801-363-0203
Mailing Address - Fax:801-359-3455
Practice Address - Street 1:607 EAST 200 SOUTH
Practice Address - Street 2:
Practice Address - City:SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:94102
Practice Address - Country:US
Practice Address - Phone:801-363-0203
Practice Address - Fax:801-359-3455
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor