person
David A Kiningham, MED
Mental Health Counselor in Fort Wayne, Indiana
NPI 1215025853

David A Kiningham is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. David A Kiningham practices in Fort Wayne, IN and has the professional credentials of MED. The NPI Number for David A Kiningham is 1215025853 and holds a License No. 39001795A (Indiana).

The current practice location address for David A Kiningham is 6334 Constitution Dr., Fort Wayne, IN and can be reached out via phone at 260-260-1209 and via fax at 260-782-3215.

Location: 6334 Constitution Dr., Fort Wayne, IN, 46804-1518
person
Provider Profile Details
NPI Number
1215025853
Provider Name
David A Kiningham
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
6334 Constitution Dr., Fort Wayne, IN, 46804-1518
Phone Number
260-260-1209
Fax Number
260-782-3215
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6334 Constitution Dr.
City
State
Zip
46804-4680
Phone Number
260-260-1209
Fax Number
260-782-3215
person
Provider Business Mailing Address Details
Address
6334 Constitution Dr.
City
State
Zip
46804-4680
Phone Number
260-260-1209
Fax Number
260-782-3215
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39001795A (Indiana)
Definition
Definition to come...
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