Provider Demographics
NPI:1427266287
Name:KINNE, MICHELLE H (ICCE CD(DONA) CLE)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:H
Last Name:KINNE
Suffix:
Gender:F
Credentials:ICCE CD(DONA) CLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8014 202ND STREET CT E
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-5278
Mailing Address - Country:US
Mailing Address - Phone:253-846-9800
Mailing Address - Fax:
Practice Address - Street 1:8014 202ND STREET CT E
Practice Address - Street 2:
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-5278
Practice Address - Country:US
Practice Address - Phone:253-846-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered174400000XOther Service ProvidersSpecialist