| Cm Kinney And Associates, Llc | |
|
623 Meramec Station Rd Manchester MO 63021-5550 | |
| (314) 266-9131 | |
| Not Available |
| Full Name | Cm Kinney And Associates, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 623 Meramec Station Rd, Manchester, Missouri |
| Authorized Official Name and Position | Victoria Shepherd (ADMIM) |
| Authorized Official Contact | 3143155148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cm Kinney And Associates, Llc 1237 Warson Woods Dr Saint Louis MO 63122-1735 Ph: (314) 608-2527 | Cm Kinney And Associates, Llc 623 Meramec Station Rd Manchester MO 63021-5550 Ph: (314) 266-9131 |
| NPI Number | 1033734702 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 04/22/2022 |
| Certification Date | 09/24/2021 |
| Medicare PECOS PAC ID | 4688099328 |
|---|---|
| Medicare Enrollment ID | O20200729000997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033734702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cheryl Kinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992328710 PECOS PAC ID: 7315362084 Enrollment ID: I20200729001942 |
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