Provider Demographics
NPI:1104257294
Name:KINNEVY, MARGARET (DAC, RN, LAC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:KINNEVY
Suffix:
Gender:F
Credentials:DAC, RN, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 W HORTTER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-3104
Mailing Address - Country:US
Mailing Address - Phone:267-934-4682
Mailing Address - Fax:
Practice Address - Street 1:255 W HORTTER ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-3104
Practice Address - Country:US
Practice Address - Phone:267-934-2682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-27
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000957171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist