Provider Demographics
NPI:1760474175
Name:KINNEY, KAREN A (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:A
Last Name:KINNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4300 SAPPHIRE CT STE 110
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-9079
Mailing Address - Country:US
Mailing Address - Phone:252-830-7561
Mailing Address - Fax:252-413-0932
Practice Address - Street 1:3408 WILSHIRE BLVD
Practice Address - Street 2:100
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4339
Practice Address - Country:US
Practice Address - Phone:910-251-5326
Practice Address - Fax:910-632-2355
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2015-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC34648207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC930069362OtherRAILROAD MEDICARE
NC49355OtherBCBS NC
NC8949355Medicaid
NC49355OtherBCBS NC
NCF13970Medicare UPIN
NC8949355Medicaid