Provider Demographics
NPI:1558577452
Name:KINZEL, JASON EMERY (JASON KINZEL)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:EMERY
Last Name:KINZEL
Suffix:
Gender:M
Credentials:JASON KINZEL
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Mailing Address - Street 1:420 LOWELL DR SE
Mailing Address - Street 2:STE 204
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3754
Mailing Address - Country:US
Mailing Address - Phone:256-536-9031
Mailing Address - Fax:256-539-4240
Practice Address - Street 1:420 LOWELL DR SE
Practice Address - Street 2:STE 204
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3754
Practice Address - Country:US
Practice Address - Phone:256-536-9031
Practice Address - Fax:256-539-4240
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2013-06-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA225426207R00000X
ALMD32456207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine