person
Jessica Lynn Kinnell, PA-C
Surgical Physician Assistant in Detroit, Michigan
NPI 1750661310

Jessica Lynn Kinnell is a Surgical Physician Assistant based in Detroit, MI and is specialized in Surgical. Jessica Lynn Kinnell practices in Detroit, MI and has the professional credentials of PA-C. The NPI Number for Jessica Lynn Kinnell is 1750661310 and holds a License No. 5601006121 (Michigan).

The current practice location address for Jessica Lynn Kinnell is 2799 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-629-1186.

Location: 2799 W Grand Blvd, Detroit, MI, 48202-2608
person
Provider Profile Details
NPI Number
1750661310
Provider Name
Jessica Lynn Kinnell
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2799 W Grand Blvd, Detroit, MI, 48202-2608
Phone Number
313-629-1186
Fax Number
Provider Enumeration Date
08/26/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5390153 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
313-629-1186
Fax Number
person
Provider Business Mailing Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
313-629-1186
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5601006121 (Michigan)
Definition
Definition to come...
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