Provider Demographics
NPI:1528876174
Name:KINNUNEN, KAIJA LOUISA
Entity type:Individual
Prefix:
First Name:KAIJA
Middle Name:LOUISA
Last Name:KINNUNEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20660 N 40TH ST UNIT 2150
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-7322
Mailing Address - Country:US
Mailing Address - Phone:218-244-1139
Mailing Address - Fax:
Practice Address - Street 1:20660 N 40TH ST UNIT 2150
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-7322
Practice Address - Country:US
Practice Address - Phone:218-244-1139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic