Provider Demographics
NPI:1780925560
Name:KINSMAN, JULIE E (MSED)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:E
Last Name:KINSMAN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 OLD HOPKINS ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:PA
Mailing Address - Zip Code:18810-1005
Mailing Address - Country:US
Mailing Address - Phone:607-426-0255
Mailing Address - Fax:
Practice Address - Street 1:111 OLD HOPKINS ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:PA
Practice Address - Zip Code:18810-1005
Practice Address - Country:US
Practice Address - Phone:607-426-0255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY174400000X SPECIALOtherSCHYLER COUNTY