Bethany Kinney, APRN is a
Nurse Practitioner - Family based in Petersburg, Michigan. Bethany Kinney is licensed to practice in Ohio (license number APRN.CNP.021938) and her current practice location is
4100 W Rauch Rd, Petersburg, Michigan. She can be reached at her office (for appointments etc.) via phone at
(419) 343-7072.
NPI number for Bethany Kinney is 1205347846 and her current mailing address is 14121 Parke Long Ct, Chantilly, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205347846.
Provider's Profile
Full Name | Bethany Kinney |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4100 W Rauch Rd, Petersburg, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205347846
- Provider Enumeration Date: 10/23/2017
- Last Update Date: 10/23/2017
Medical Identifiers
Medical identifiers for Bethany Kinney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205347846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.021938 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bethany Kinney is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bethany Kinney, APRN 14121 Parke Long Ct, Chantilly, VA 20151-1647 Ph: () - | Bethany Kinney, APRN 4100 W Rauch Rd, Petersburg, MI 49270-9800 Ph: (419) 343-7072 |
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