Provider Demographics
NPI:1750469557
Name:KINSEY, CINDY DENISE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:DENISE
Last Name:KINSEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 733
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:TX
Mailing Address - Zip Code:76531-0733
Mailing Address - Country:US
Mailing Address - Phone:254-386-3121
Mailing Address - Fax:254-386-3359
Practice Address - Street 1:105 EAST HENRY
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:TX
Practice Address - Zip Code:76531-0686
Practice Address - Country:US
Practice Address - Phone:254-386-3121
Practice Address - Fax:254-386-3359
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist