Provider Demographics
NPI:1841866134
Name:KINSEY, DAVID JAMES (MSN, RN, CNL)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:JAMES
Last Name:KINSEY
Suffix:
Gender:M
Credentials:MSN, RN, CNL
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 76
Mailing Address - Street 2:
Mailing Address - City:MAURICETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08329-0076
Mailing Address - Country:US
Mailing Address - Phone:609-305-7549
Mailing Address - Fax:
Practice Address - Street 1:286 MANTUA GROVE RD
Practice Address - Street 2:
Practice Address - City:WEST DEPTFORD
Practice Address - State:NJ
Practice Address - Zip Code:08066-1738
Practice Address - Country:US
Practice Address - Phone:609-305-7549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR21454600163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse