Provider Demographics
NPI:1700684065
Name:KINZLE, KYRA
Entity type:Individual
Prefix:
First Name:KYRA
Middle Name:
Last Name:KINZLE
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 1:431 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CRAIG
Mailing Address - State:NE
Mailing Address - Zip Code:68019-4525
Mailing Address - Country:US
Mailing Address - Phone:402-990-3042
Mailing Address - Fax:
Practice Address - Street 1:410 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CRAIG
Practice Address - State:NE
Practice Address - Zip Code:68019-4524
Practice Address - Country:US
Practice Address - Phone:402-990-3042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide