Provider Demographics
NPI:1043478639
Name:KINEM, DANIEL J (DO)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:KINEM
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:120 E 2ND ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1537
Mailing Address - Country:US
Mailing Address - Phone:814-877-8000
Mailing Address - Fax:814-452-2210
Practice Address - Street 1:120 E 2ND ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1537
Practice Address - Country:US
Practice Address - Phone:814-877-8000
Practice Address - Fax:814-452-2210
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2023-02-05
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Provider Licenses
StateLicense IDTaxonomies
PAOS0148722084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology