Dr. Bruce C Kinzinger, MD
Family Medicine in Aberdeen, MD. Individual provider (NPI-1).
NPI number1174552012
StatusActive
Last updated in NPPESFeb 15, 2022
Details
- NPI
- 1174552012
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bruce C Kinzinger
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2006
- Certification date
- Feb 15, 2022
- Last updated
- Feb 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | D0044260 | MD | Yes |
| 207Q00000X | Family Medicine | MD418799 | PA |
Practice location
995 Hospitality WayAberdeen, MD 21001-1755
Phone 410-306-7880 · Fax 410-306-7881
Mailing address
5000 Cox RdGlen Allen, VA 23060-9263
Phone 804-968-5700
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