Provider Demographics
NPI:1134708662
Name:KINSLEY, KRISTIN LYNAE (MD)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:LYNAE
Last Name:KINSLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 ARCH ST STE 600
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1403
Mailing Address - Country:US
Mailing Address - Phone:245-723-4462
Mailing Address - Fax:
Practice Address - Street 1:45 ARCH ST STE 600
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1403
Practice Address - Country:US
Practice Address - Phone:224-572-3446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-02
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1535962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry