Carol Kinnaman

Key facts

NPI

1457537995

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

R102443-8 (MN)

Practice address

17230 Noopiming Dr
Onamia, MN 56359-4522

Phone

(320) 532-7776

Fax

(320) 532-7524

NPI assigned

Jan 15, 2008

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 4, 2008.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1457537995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17230 NOOPIMING DR",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563594522",
            "telephone_number": "320-532-7776",
            "fax_number": "320-532-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17230 NOOPIMING DR",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563594522",
            "telephone_number": "320-532-7776",
            "fax_number": "320-532-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNAMAN",
        "first_name": "CAROL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R102443-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onamia, MN

• Darcy Alan Johnson, RPH
• Pamela Ann Johnson, RPH
• Carol Alvina Kapinos, HHA
• Mohan Raj Karki, MD
• Fahad Khemani, MD
• Nerissa Ann Klingelhofer, OD
• Angela Kray, LPN
• Denise Kulhanek, LPN
• Gertrude Lambert, FNP
• Edmund Alexander Larka, PA

All providers in Onamia, MN · Registered Nurse in Minnesota