BEVERLY H KINNE N.P. NPI 1114953718

NPI Information

NPI: 1114953718
Provider Name: BEVERLY H KINNE, N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
358 MOUNTAIN VIEW RD
COPAKE, NY
ZIP 12516
Phone: (518) 392-3900
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Beverly H Kinne, N.P. is an adult health nurse practitioner in Copake, NY. Beverly H Kinne, N.P. NPI is 1114953718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

358 MOUNTAIN VIEW RD
COPAKE, NY
ZIP 12516-239
Phone: (518) 392-3900
Fax: (518) 392-1040

The enumeration date for this NPI number is 6/24/2006 and was last updated on 10/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	360033	NEW YORK	No
2	363LA2200X	Nurse Practitioner	Adult Health	F302098	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S47824	MEDICARE UPIN
2	W79533	OTHER	NEW YORK	MEDICARE GROUP ; COLUMBIA MEMORIAL HOSPITAL
3	94V061	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	EMPIRE
4	01909517	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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