Lacy C. Kinney PA-C

NPI 1780611459 - Physician Assistant - 363A00000X

NPI Details
NPI 1780611459
Gender Female
Enumeration Date 06/27/2006
Last Updated 04/10/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
149 WALNUT GROVE CHURCH RD
DAYTON TN, 37321-7925, US
Phone (423) 775-5512
Fax (423) 775-0155
Business Location
149 WALNUT GROVE CHURCH RD
DAYTON TN, 37321-7925, US
Phone (423) 775-5512
Fax (423) 775-0155
Toxanomy
Taxonomy Code 363A00000X
License State Tennessee
License Number PA1301
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According to our database, Ms. Lacy C. Kinney PA-C NPI is 1780611459, taxonomy code is 363A00000X and license number is PA1301, license state is located at Tennessee. Lacy C. Kinney PA-C physically located at 149 Walnut Grove Church Rd, Dayton TN, 37321-7925. NPI Number Lacy C. Kinney PA-C has the Individual type.

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1780611459 NPI number is provided on an as is basis without warranty of any kind. 1780611459 is maintained by the National Plan & Provider Enumeration System. The contents of Lacy C. Kinney PA-C are for informational purposes only.