Provider Demographics
NPI:1679733828
Name:KINNEY, LENNA MARIE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:LENNA
Middle Name:MARIE
Last Name:KINNEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5289 STATE ROUTE 345 NE
Mailing Address - Street 2:
Mailing Address - City:NEW LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43764-9566
Mailing Address - Country:US
Mailing Address - Phone:740-342-4260
Mailing Address - Fax:
Practice Address - Street 1:5289 STATE ROUTE 345 NE
Practice Address - Street 2:
Practice Address - City:NEW LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:43764-9566
Practice Address - Country:US
Practice Address - Phone:740-342-4260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN112095164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse