Provider Demographics
NPI:1235933524
Name:KINSEY, JOHN ZACHERY
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ZACHERY
Last Name:KINSEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 W RIVIERA CIR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-4627
Mailing Address - Country:US
Mailing Address - Phone:520-229-7329
Mailing Address - Fax:
Practice Address - Street 1:1010 W RIVIERA CIR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-4627
Practice Address - Country:US
Practice Address - Phone:520-229-7329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist