Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Doreva R Kinlaw, ESTHETICIAN

Individual provider Specialist · NPI 1407546237

Doreva R Kinlaw, ESTHETICIAN is a Specialist in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

598 Grand Concourse 2nd Fl
Bronx, NY 10451-1706
Phone: (347) 928-2175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence AEE-23-00186 (NY)

Record details

NPI number1407546237
Entity typeIndividual (Type 1)
GenderFemale
Credentials ESTHETICIAN
Sole proprietorYes
NPI enumeratedMay 15, 2023
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

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