Provider Demographics
NPI:1841832318
Name:KINMAN, BRITTANY ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:ANN
Last Name:KINMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 W OXFORD LOOP STE 114H
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-5728
Mailing Address - Country:US
Mailing Address - Phone:662-715-7703
Mailing Address - Fax:
Practice Address - Street 1:2704 W OXFORD LOOP STE 114H
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-5728
Practice Address - Country:US
Practice Address - Phone:662-715-7703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-16
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3661103TC0700X
MS621125103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN36855550Medicaid