DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ZACHARY KINNEY, RECOVERY COACH

Active

ZACHARY KINNEY, RECOVERY COACH is a Peer Specialist healthcare provider located in POCATELLO, Idaho. NPI 1619694312 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · POCATELLO, ID

Registration Details

NPI Number
1619694312
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2022 (3.7669631314845 yrs)
Last Updated
Oct 24, 2022
License
13056 (ID)

Practice Information

Address
5230 W MOONLIGHT MINE RD
POCATELLO, ID, 832019013
Browse ID providers · Browse ZIP 83201
Phone
2084780219
Fax
2089449655
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in POCATELLO, ID

Name Credential NPI
LAUREN ELIZABETH ELLSWORTH 1811417272
LISA GAY JOHNSTON 1760980023
MS. KOLLEEN MARIE WYNN-GALLIPEAU CERTIFIED PEER SUPP 1184113482
TRACIE LYN HANSEN B.S. 1639779523
REBECCA DENISE WHITE CPRC, CPSS, CPRC SUP 1689395378
AUTUMN NIKOLE HENNESSY KAHEA CPSS 1124994454
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.