Douglas Kinney, D.M.D.
Dentist in Otego, NY. Individual provider (NPI-1).
NPI number1679697486
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679697486
- Entity type
- Individual (NPI-1)
- Name
- Douglas Kinney
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 037471 | NY | Yes |
Practice location
525 Crawford RoadOtego, NY 13825
Phone 607-432-1010
Mailing address
8 Grand StreetOneonta, NY 13820
Phone 607-432-1010
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