Provider Demographics
NPI:1588945018
Name:KYNER, MARION LOUISE (RN, CNS)
Entity type:Individual
Prefix:MRS
First Name:MARION
Middle Name:LOUISE
Last Name:KYNER
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3425 CUMBERLAND RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23040-2707
Mailing Address - Country:US
Mailing Address - Phone:434-547-7850
Mailing Address - Fax:
Practice Address - Street 1:3425 CUMBERLAND RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:VA
Practice Address - Zip Code:23040-2707
Practice Address - Country:US
Practice Address - Phone:434-547-7850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024181902364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult