NPI 1619648011

Dustin Bentley Kinney, IDHS

Practitioner Independent Duty Corpsman Cape Canaveral, FL

Practice location

Address: 9235 Grouper Rd, Cape Canaveral, FL 32920-4402
Phone: (937) 214-4153

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1619648011
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2021
Record last updated: 24 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.