Provider Demographics
NPI:1992847115
Name:KINSEY, JOSHUA DAVIS (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DAVIS
Last Name:KINSEY
Suffix:
Gender:M
Credentials:DOCTOR OF PHARMACY
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 832
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:GA
Mailing Address - Zip Code:30528-0015
Mailing Address - Country:US
Mailing Address - Phone:706-878-0571
Mailing Address - Fax:706-348-1823
Practice Address - Street 1:19 E JARRARD ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:GA
Practice Address - Zip Code:30528-1212
Practice Address - Country:US
Practice Address - Phone:706-865-1212
Practice Address - Fax:706-865-1221
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022625183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist