Provider Demographics
NPI:1699845628
Name:KINNETT, AMY CHRISTINE (RNC, WHNP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:CHRISTINE
Last Name:KINNETT
Suffix:
Gender:F
Credentials:RNC, WHNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:CHRISTINE
Other - Last Name:STRAWBRIDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNC, WHNP
Mailing Address - Street 1:13420 N MERIDIAN ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-1581
Mailing Address - Country:US
Mailing Address - Phone:317-573-7050
Mailing Address - Fax:317-573-7098
Practice Address - Street 1:13420 N MERIDIAN ST
Practice Address - Street 2:SUITE 400
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1581
Practice Address - Country:US
Practice Address - Phone:317-573-7050
Practice Address - Fax:317-573-7098
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28147392A163WW0101X
IN71002407A363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200956240Medicaid
IN200956240Medicaid