Provider Demographics
NPI:1588257497
Name:KINSEY, AMY E (FNP)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:E
Last Name:KINSEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 CRIMSON LEAF CT
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-3172
Mailing Address - Country:US
Mailing Address - Phone:636-696-3987
Mailing Address - Fax:
Practice Address - Street 1:16555 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:GROVER
Practice Address - State:MO
Practice Address - Zip Code:63040-1213
Practice Address - Country:US
Practice Address - Phone:314-744-3122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021005532363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily