Provider Demographics
NPI:1821234675
Name:KINSELLA, AIDAN (DC)
Entity Type:Individual
Prefix:DR
First Name:AIDAN
Middle Name:
Last Name:KINSELLA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 20TH ST
Mailing Address - Street 2:SUITE #102
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2678
Mailing Address - Country:US
Mailing Address - Phone:415-643-3070
Mailing Address - Fax:415-643-3071
Practice Address - Street 1:3380 20TH ST
Practice Address - Street 2:SUITE #102
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2678
Practice Address - Country:US
Practice Address - Phone:415-643-3070
Practice Address - Fax:415-643-3071
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30959111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor