CAROL LEE KINZNER ARNP NPI 1386698736

NPI Information

NPI: 1386698736
Provider Name: CAROL LEE KINZNER, ARNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1708 YAKIMA AVE
SUITE 107
TACOMA, WA
ZIP 98405
Phone: (253) 272-5881
Get Directions

Carol Lee Kinzner, ARNP is a gerontology nurse practitioner in Tacoma, WA. Carol Lee Kinzner, ARNP NPI is 1386698736. 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:

1708 YAKIMA AVE
SUITE 107
TACOMA, WA
ZIP 98405-307
Phone: (253) 272-5881
Fax: (253) 383-0161

The NPI 1386698736 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 12/1/2010.

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	363L00000X	Nurse Practitioner		AP30004242	WASHINGTON	No
2	363LG0600X	Nurse Practitioner	Gerontology	AP30004242	WASHINGTON	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
1	S45650	MEDICARE UPIN
2	AB35223	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
3	9622010	MEDICAID	WASHINGTON

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: 4/28/2024

NPI Synchronization or Removal

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