Provider Demographics
NPI:1447075981
Name:KINOR, CHRISTOPHER L (RN)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:L
Last Name:KINOR
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:L
Other - Last Name:KINOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11410 NE 122ND WAY
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-6945
Mailing Address - Country:US
Mailing Address - Phone:425-650-4005
Mailing Address - Fax:
Practice Address - Street 1:11410 NE 122ND WAY
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6945
Practice Address - Country:US
Practice Address - Phone:425-650-4005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID54816163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health