Diedra Y Kinne

NPI #1275917379 in Fredonia, Arizona

Provider Information

NPI Number: 1275917379
Entity Type: Individual
Name: Diedra Y Kinne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 17, 2015
Last Updated: Jul 17, 2015

Practice Location

Address: 240 WEST JENSEN ST.
City: Fredonia
State: Arizona
ZIP Code: 86022-0491
Phone: (928) 925-0388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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