Individual provider · Type 1 NPI
Doreva R. Kinlaw, ESTHETICIAN
Specialist · Bronx, NY
NPI number
1407546237
Active
Practice location
598 Grand Concourse, 2nd Fl
Bronx, NY 10451-1706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | AEE-23-00186 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Bronx
- Nieves H. Madera-Colon, MS/EDSpecialist Bronx, NY NPI 1003052994
- Sheena Lene Jackson, MSEDSpecialist Bronx, NY NPI 1003105396
- Joyce Rose LeeSpecialist Bronx, NY NPI 1003167099
- Jaime Lynn JohnsonSpecialist Bronx, NY NPI 1003170945
- Julio Cesar Pacheco Jr., M.A., B.E.A.Specialist Bronx, NY NPI 1003178369
- Marlene HernandezSpecialist Bronx, NY NPI 1003178781
- Sandra MonteroSpecialist Bronx, NY NPI 1003281692
- Katherine Micetich, LMSWSpecialist Bronx, NY NPI 1003339508
About NPI 1407546237
Doreva R. Kinlaw, ESTHETICIAN's National Provider Identifier is 1407546237, issued on May 15, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bronx, NY. The record was last updated on Sep 2, 2025.