DIEDRA Y KINNE
NPI 1275917379
Peer Specialist in Fredonia, AZ

Q: What is Diedra Kinne's NPI number?

The NPI number for Diedra Kinne is 1275917379. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Q: What is Diedra Kinne's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Diedra Kinne was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2015

240 WEST JENSEN ST., FREDONIA, AZ 86022(928) 925-0388 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Diedra Y Kinne NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIEDRA Y KINNE (NPI 1275917379) is an individual peer specialist in Fredonia, Arizona, licensed in Arizona (4750887) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1275917379

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameDIEDRA Y KINNE

Location Address240 WEST JENSEN ST.Fredonia, AZ 86022-0491

Mailing Address240 West Jensen St.Fredonia, AZ 86022 · (928) 925-0388

Phone(928) 925-0388

Sole ProprietorNo

Enumeration DateJuly 17, 2015

✔ NPI 1275917379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in AZ · 4750887

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

240 WEST JENSEN ST., Fredonia, AZ 86022

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diedra Kinne's NPI number?

The NPI number for Diedra Kinne is 1275917379. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Where is Diedra Kinne located?

Diedra Kinne practices at 240 West Jensen St., Fredonia, AZ 86022. The listed phone number is (928) 925-0388.

What is Diedra Kinne's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Diedra Kinne was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.