Provider Demographics
NPI:1972812444
Name:KINNEY, VALERIE JO (PHARMD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:JO
Last Name:KINNEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35961 HICKORY STREET
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16438
Mailing Address - Country:US
Mailing Address - Phone:814-827-7083
Mailing Address - Fax:814-827-8234
Practice Address - Street 1:208 E CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16354-1845
Practice Address - Country:US
Practice Address - Phone:814-827-7083
Practice Address - Fax:814-827-8234
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442346183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist