MR. MICHAEL JOSEPH KINNEY CRNP NPI 1043511611

NPI Information

  • NPI: 1043511611
  • Provider Name: MR. MICHAEL JOSEPH KINNEY, CRNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 405 HURFFVILLE CROSSKEYS RD STE 203
    SEWELL, NJ
    ZIP 08080
  • Phone: (856) 582-0033

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NPI Details

MR. Michael Joseph Kinney, CRNP is a pediatrics nurse practitioner in Sewell, NJ. MR. Michael Joseph Kinney, CRNP NPI is 1043511611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

405 HURFFVILLE CROSSKEYS RD STE 203
SEWELL, NJ
ZIP 08080-344
Phone: (856) 582-0033
Fax: (856) 582-2305

The NPI 1043511611 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 11/12/2010 and was last updated on 6/25/2024.

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
1363LP0200XNurse PractitionerPediatricsSP010984PENNSYLVANIANo
2363LP0200XNurse PractitionerPediatrics26NJ00312200NEW JERSEYYes

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: 11/21/2025

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