Provider Demographics
NPI:1932396306
Name:KINLEY ENTERPRISE, INC.
Entity Type:Organization
Organization Name:KINLEY ENTERPRISE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:TYSINGER
Authorized Official - Last Name:KINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:336-239-2465
Mailing Address - Street 1:706 MILL STREAM LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-6383
Mailing Address - Country:US
Mailing Address - Phone:336-239-2465
Mailing Address - Fax:336-746-7203
Practice Address - Street 1:706 MILL STREAM LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-6383
Practice Address - Country:US
Practice Address - Phone:336-239-2465
Practice Address - Fax:336-746-7203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1221225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty