MRS. AMANDA SUE KINNE


Address: 2071 N Main St, Canton, IL 61520-1032
Phone: 3096478100

MRS. AMANDA SUE KINNE (NPI# 1659970267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659970267
Entity Type Individual
Full Name MRS. AMANDA SUE KINNE
Credential RPH
Practice Address 2071 N Main St
Canton
IL 61520-1032
Mailing Address 25788 N Venovich Rd
Canton
IL 61520-8396
Practice Telephone 3096478100
Practice Fax Number 3096478580
Mailing Telephone 3092211094
Enumeration Date 2020-10-23
Last Update Date 2020-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 051287946 IL Pharmacy Service Providers
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225XE1200X Occupational Therapist
Specialization: Ergonomics
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2071 N MAIN ST
City CANTON
State IL
Zip Code 61520-1032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568063428 Mary J Eberle Pharmacist 2071 N Main St, Canton, IL 61520-1032 2020-11-05
1053338335 Walmart Inc. Durable Medical Equipment & Medical Supplies 2071 N Main St, Canton, IL 61520-1032 2006-07-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497978480 Walton Cs-xi P.C. Chiropractor 410 E. Elm Street, Canton, IL 61520 2007-04-10
1811912918 Jennifer Christine Daniel-price Chiropractor 410 E Elm Street, Canton, IL 61520 2006-07-12
1245216241 Fulton County Health Department Clinic/Center 700 East Oak Street, Canton, IL 61520 2005-12-21
1124482252 Ryan Deushane Nurse Anesthetist, Certified Registered 210 W Walnut St, Canton, IL 61520 2016-04-05
1750749826 Shawn Michael Wynn Nurse Anesthetist, Certified Registered 210 W Walnut St, Canton, IL 61520 2016-02-04
1417312232 Danielle Marianna Sausaman Dietitian, Registered 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 2015-12-21
1740533835 Abby L. Sherwood Chiropractor 410 E Elm Street, Canton, IL 61520 2012-10-26
1417261041 Erin Kathleen Buckley Obstetrics & Gynecology 180 S Main St, Canton, IL 61520 2010-08-06
1619375532 Brittany Nicole Miller Nurse Practitioner 1300 E Locust St, Canton, IL 61520-0008 2014-12-09
1437197845 Heartland of Canton Il LLC Clinic/Center 2081 N Main St, Canton, IL 61520-1032 2006-06-04
Find all providers in zip 61520

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437750551 Anamiben R Patel Pharmacist 45555 Michigan Ave, Canton, MI 48188-2388 2020-11-04
1467084343 Syed Ashraf Ali Shah Pharmacist 385 Westbourne Ct, Canton, MI 48188-4718 2020-02-07
1427680503 Gracy Mathai-mathews Pharmacist 770 Pheasant Woods Dr, Canton, MI 48188-5224 2020-02-06
1962059378 Catherine Lynn Denner Pharmacist 330 Oak Hill Ln, Canton, GA 30115-5433 2019-08-20
1427601806 Tarek Mazloum Pharmacist 3815 Herbey St, Canton, MI 48188-2421 2019-07-24
1013473925 Yen Do Ruiz Pharmacist 41460 Haggerty Circle South, Canton, MI 48188 2019-02-15
1063978260 Jordan Richard Wanner Pharmacist 4615 Middlebranch Ave Ne, Canton, OH 44705-2960 2019-02-13
1861972333 Brittany Carin Yu Pharmacist 2512 Tuscarawas St W, Canton, OH 44708-4702 2018-08-15
1598256364 Austin Tull Pharmacist 2260 Holly Springs Pkwy Ste 180, Canton, GA 30115-9580 2018-05-28
1518491513 Jerry Sherwin Vidis Pharmacist 41092 Northwind Dr, Canton, MI 48188-3115 2017-04-17
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 61520

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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