Provider Demographics
NPI:1811308299
Name:KINLEY, BRETT ANN (RN, BSN, CNOR, RNFA)
Entity type:Individual
Prefix:MS
First Name:BRETT
Middle Name:ANN
Last Name:KINLEY
Suffix:
Gender:F
Credentials:RN, BSN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3180 LA COSTA CIR
Mailing Address - Street 2:APT 206
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-6619
Mailing Address - Country:US
Mailing Address - Phone:561-400-8998
Mailing Address - Fax:
Practice Address - Street 1:3180 LA COSTA CIR
Practice Address - Street 2:APT 206
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-6619
Practice Address - Country:US
Practice Address - Phone:561-400-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-19
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9280005163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant