Provider Demographics
NPI:1649717398
Name:KINTER, AMY LEE (FNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LEE
Last Name:KINTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5121 RED BUCKEYE DR
Mailing Address - Street 2:
Mailing Address - City:TIPP CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45371-7512
Mailing Address - Country:US
Mailing Address - Phone:937-510-1508
Mailing Address - Fax:
Practice Address - Street 1:501 ATRIUM DR
Practice Address - Street 2:FIRST FL STE 100
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45005-5165
Practice Address - Country:US
Practice Address - Phone:937-293-1622
Practice Address - Fax:937-293-1622
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.020463363LF0000X
OHAPRN.020463363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily