Provider Demographics
NPI:1609363407
Name:KINSEY, GINA (RN)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:KINSEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 W JASMINE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403-2108
Mailing Address - Country:US
Mailing Address - Phone:561-776-8300
Mailing Address - Fax:
Practice Address - Street 1:840 US HIGHWAY 1 STE 120
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3858
Practice Address - Country:US
Practice Address - Phone:561-891-4694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-17
Last Update Date:2020-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9425797163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy