Individual provider · Type 1 NPI

Douglas Clayton Kinney, ACNP

Acute Care Nurse Practitioner · West Bloomfield, MI

NPI number 1487902474 Active

Practice location

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Mailing address

11657 Morgan Ave
Plymouth, MI 48170-4438

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4704271318 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1487902474

Douglas Clayton Kinney, ACNP's National Provider Identifier is 1487902474, issued on Aug 22, 2012. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in West Bloomfield, MI. The record was last updated on Aug 22, 2012.