Provider Demographics
NPI:1538807714
Name:KINSEY, TAMIRA LAVETTE
Entity type:Individual
Prefix:
First Name:TAMIRA
Middle Name:LAVETTE
Last Name:KINSEY
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 1:6911 WATERBROOK CT
Mailing Address - Street 2:
Mailing Address - City:GIBSONTON
Mailing Address - State:FL
Mailing Address - Zip Code:33534-3924
Mailing Address - Country:US
Mailing Address - Phone:813-842-0427
Mailing Address - Fax:
Practice Address - Street 1:6911 WATERBROOK CT
Practice Address - Street 2:
Practice Address - City:GIBSONTON
Practice Address - State:FL
Practice Address - Zip Code:33534-3924
Practice Address - Country:US
Practice Address - Phone:813-842-0427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker