Individual provider · Type 1 NPI
Thomas Charles Kinne Ii
Respite Care · Fredonia, AZ
NPI number
1003315151
Active
Practice location
314 Aspen Street
Fredonia, AZ 86022
Mailing address
PO Box 491
Fredonia, AZ 86022-0491
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Respite Care Primary | 385H00000X | 8876774 (AZ) |
Respite Care: Definition to come.
About NPI 1003315151
Thomas Charles Kinne Ii's National Provider Identifier is 1003315151, issued on Feb 5, 2018. The primary taxonomy on file is Respite Care (385H00000X), and the practice location is in Fredonia, AZ. The record was last updated on Feb 5, 2018.