Zachary Kinney, RECOVERY COACH

NPI 1619694312 · on the registry since 2022

Practice

Address: 5230 W Moonlight Mine Rd
Pocatello, ID 83201
Phone: (208) 478-0219
Fax: (208) 944-9655
Organisation at this address: Legacy Healthcare Group
Moonlight Mountain Recovery, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 175T00000X
175T00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho